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Related Concept Videos

Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...

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Related Experiment Video

Updated: Jun 20, 2026

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
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Augmented Tendon Repair with Internal Bracing: Surgical Technique.

Nina Handzewniak1, Richard Pearse2, Abbie Randall1

  • 1Royal Free London NHS Foundation Trust, Pond Street, London NW3 2QG, UK.

Journal of Clinical Medicine
|November 27, 2025
PubMed
Summary
This summary is machine-generated.

Internal brace-augmented tendon repair (IBA-TR) is a safe and effective surgical technique for acute patellar, quadriceps, and Achilles tendon ruptures. This method allows early mobilization and a high return to pre-injury activity levels without complications.

Keywords:
Achilles tendoninternal bracingpatellar tendonquadriceps tendontendon injurytendon repair

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomaterials in Surgery

Background:

  • The use of internal bracing in lower limb tendon repair is not extensively documented.
  • Acute ruptures of the patellar, quadriceps, and Achilles tendons require effective surgical management.

Purpose of the Study:

  • To report techniques for internal brace-augmented tendon repair (IBA-TR).
  • To evaluate the clinical outcomes and safety of IBA-TR for acute lower limb tendon ruptures.

Main Methods:

  • Retrospective analysis of 100 IBA-TR cases performed by a single surgeon from 2014-2022.
  • Minimum follow-up of 6 months for all patients undergoing patellar, quadriceps, or Achilles tendon repair.

Main Results:

  • No tendon repair failures or deep infections requiring reoperation were reported.
  • The average time to mobilization without external bracing was 32 days.
  • 98% of patients returned to their pre-injury level of activity.

Conclusions:

  • IBA-TR is the largest reported cohort for tendon repairs augmented with an internal brace.
  • The technique is safe, clinically effective, and eliminates the need for cast immobilization.
  • High patient satisfaction and functional recovery were observed.