Calcific Insertional Achilles Tendinopathy: Augmenting Surgical Management with Tapestry

Calcific insertional Achilles tendinopathy (CIAT) is a common musculoskeletal issue that results in not only daily pain and discomfort but also functional deficits affecting patients' quality of life. After failure of conservative management, CIAT often transitions to surgical problem requiring not only repair of the tendon but also a posterior debridement of excess enthesophytes, thickened Achilles tendon, and prominent calcaneal bone. In this article, the author describes a single case study of surgical management of CIAT with flexor hallucis longus transfer and augmentation of the Achilles tendon utilizing Tapestry Biointegrative implant to aid in collagen restoration, tendon health, and recovery.