Achilles tendon reconstruction using a biosynthetic graft: a case report

A 56-year-old male was admitted to an outpatient clinic five months after feeling a snap in his right heel while walking in the yard. Clinical and imaging evaluation demonstrated a discontinuity of Achilles tendon (AT). The measured gap between the insertion and the proximal stump was 13cm. The patient underwent reconstruction using a bio-absorbable synthetic graft associated with a Flexor Hallucis Longus (FHL) transfer. Good functional outcomes were noted. Achilles tendon reconstruction with the biosynthetic flexible band proved feasible for massive tendon defects by inserting a biological scaffold for native tendon healing, improving postoperative recovery and strength. Level of Evidence V; Therapeutic Studies; Expert Opinion.