Less invasive Achilles tendon reconstruction
Related Experiment Video
Updated: Jul 10, 2026
Harvesting of Peroneus Longus Tendon Autograft
Published on: September 2, 2025
Michael R Carmont1, Nicola Maffulli
1Department of Trauma and Orthopaedics, University Hospital of North Staffordshire, Keele University School of Medicine, Stoke on Trent, ST7 4QG UK. mcarmont@hotmail.com
Background:
The optimal management of chronic ruptures of the Achilles tendon is surgical reconstruction. Reconstruction of the Achilles tendon using peroneus brevis has been widely reported. Classically, these procedures involve relatively long surgical wounds in a relatively hypovascular area which is susceptible to wound breakdown.
Results:
We describe our current method of peroneus brevis reconstruction for the Achilles tendon using two para-midline incisions.
Conclusion:
This technique allows reconstruction of the Achilles tendon using peroneus brevis preserving skin integrity over the site most prone to wound breakdown, and can be especially used to reconstruct the Achilles tendon in the presence of previous surgery.