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Updated: May 20, 2026

Murine Hind Limb Explant Model for Studying the Mechanobiology of Achilles Tendon Impingement
08:19

Murine Hind Limb Explant Model for Studying the Mechanobiology of Achilles Tendon Impingement

Published on: December 8, 2023

Transosseous fixation in insertional Achilles tendonitis.

Priya Ponnapula Sundararajan1

  • 1South Texas Veterans Health Care System, San Antonio, TX, USA. priyaponnapula@gmail.com

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|July 31, 2012
PubMed
Summary

This study revisits bicortical transosseous fixation for severe insertional Achilles tendonitis surgery. Bone tunnels offer a potential alternative for bone-tendon reattachment in the calcaneus.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomedical Engineering

Background:

  • Severe insertional Achilles tendonitis requires surgical intervention including debridement, repair, and reattachment.
  • Current bone-tendon reattachment methods often utilize suture anchors in the calcaneus, which has limited trabecular bone.
  • This presents a challenge for secure fixation.

Purpose of the Study:

  • To reintroduce and describe the technique of bicortical transosseous fixation for insertional Achilles tendonitis.
  • To present bone tunnels as a viable surgical option for reattachment in the calcaneus.
  • To highlight the need for further research into this technique's efficacy.

Main Methods:

  • Description of a surgical technique tip.
  • Reintroduction of bicortical transosseous fixation, adapted from rotator cuff repair procedures.

Related Experiment Videos

Last Updated: May 20, 2026

Murine Hind Limb Explant Model for Studying the Mechanobiology of Achilles Tendon Impingement
08:19

Murine Hind Limb Explant Model for Studying the Mechanobiology of Achilles Tendon Impingement

Published on: December 8, 2023

  • Creation of bone tunnels in the calcaneus for tendon reattachment.

    • Main Results:

    • Bicortical transosseous fixation using bone tunnels is presented as a technique for insertional Achilles tendonitis.
    • This method offers an alternative to suture anchors for bone-tendon reattachment.
    • The technique's efficacy requires further validation through additional research.

    Conclusions:

    • Bone tunnels represent a viable surgical option for treating severe insertional Achilles tendonitis.
    • The reintroduction of bicortical transosseous fixation provides a potential improvement over existing methods.
    • Further clinical studies are essential to confirm the long-term success and benefits of this approach.