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Bioinductive Collagen Implant Augmentation for Myotendinous Achilles Rupture in a Teenage Competitive Gymnast: A Case
Josiah Valk1,2, Michael J Wilk1,2, Kelly Murdock2
1Department of Orthopaedic Surgery, Beaumont Farmington Hills Hospital, Farmington Hills, Michigan.
JBJS Case Connector
|April 11, 2023
Summary
A bioinductive collagen patch aided Achilles tendon repair in a young gymnast with a myotendinous junction rupture. This augmentation showed improved tendon thickness, strength, and range of motion post-surgery.
Area of Science:
- Orthopaedic surgery
- Biomaterials science
- Sports medicine
Background:
- Achilles tendon ruptures, particularly at the myotendinous junction, pose significant challenges in high-demand athletes.
- Traditional surgical repair methods may benefit from adjunctive treatments to enhance healing and functional recovery.
Observation:
- A 16-year-old competitive gymnast experienced an acute Achilles tendon rupture at the myotendinous junction.
- The patient underwent direct end-to-end tendon repair augmented with a bioinductive collagen patch.
Findings:
- Postoperative assessment at 6 months revealed increased Achilles tendon thickness.
- At 12 months, the patient demonstrated significant improvements in both lower extremity strength and range of motion.
Implications:
- Bioinductive collagen patch augmentation appears to be a promising adjunct for myotendinous junction Achilles tendon repairs.
- This approach may be particularly beneficial for competitive athletes, facilitating a return to high-demand activities.
