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Achilles Tendon Salvage
Leigh Campbell1, Bethany Gallagher1, Nicholas Strasser1
1Department of Orthopaedic Surgery, Vanderbilt University Medical School, Nashville, TN, USA.
Foot and Ankle Clinics
|July 31, 2026
Summary
Operative Achilles tendon repair can lead to complications. This review explores various salvage techniques for orthopedic surgeons when primary repair fails, emphasizing tailored patient treatment.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Research
- Sports Medicine
Background:
- Achilles tendon repair complications include wound problems, infection, and rerupture.
- Current treatment lacks a standardized algorithm, necessitating individualized approaches.
Purpose of the Study:
- To review and illustrate various operative salvage techniques for failed Achilles tendon repairs.
- To provide practical insights for orthopedic surgeons managing complex cases.
Main Methods:
- Review of current literature on Achilles tendon salvage procedures.
- Presentation of case examples for tendon transfers, V-Y advancements, gastrocnemius turn-downs, and allograft techniques.
Main Results:
- Multiple salvage options exist, each with potential benefits and drawbacks.
- Case examples demonstrate the application and outcomes of different techniques.
Conclusions:
- Optimal management of failed Achilles tendon repairs requires careful patient selection and tailored surgical strategy.
- Further research may help establish clearer guidelines for salvage procedures.
