CC BY-NC-ND 4.0 · Joints 2017; 05(04): 212-216
DOI: 10.1055/s-0037-1608661
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Clinical Outcomes and Return to Sports in Patients with Chronic Achilles Tendon Rupture after Minimally Invasive Reconstruction with Semitendinosus Tendon Graft Transfer

Federico Giuseppe Usuelli
1  IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
Riccardo D'Ambrosi
2  Dipartimento di Scienze Biomediche per la Salute, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, Milan, Italy
Luigi Manzi
1  IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
Cristian Indino
1  IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
Jorge Hugo Villafañe
3  IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy
Pedro Berjano
1  IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
13 November 2017 (online)



Objective The purpose of the study is to evaluate the clinical results and return to sports in patients undergoing reconstruction of the Achilles tendon after minimally invasive reconstruction with semitendinosus tendon graft transfer.

Methods Eight patients underwent surgical reconstruction with a minimally invasive technique and tendon graft augmentation with ipsilateral semitendinosus tendon for chronic Achilles tendon rupture (more than 30 days after the injury and a gap of >6 cm). Patients were evaluated at a minimum follow-up of 24 months after the surgery through the American Orthopaedic Foot and Ankle Society (AOFAS), the Achilles Tendon Total Rupture Scores (ATRS), the Endurance test, the calf circumference of the operated limb, and the contralateral and the eventual return to sports activity performed before the trauma.

Results The mean age at surgery was 50.5 years. Five men and three women underwent the surgery. The average AOFAS was 92, mean Endurance test was 28.1, and the average ATRS was 87. All patients returned to their daily activities, and six out of eight patients have returned to sports activities prior to the accident (two football players, three runners, one tennis player) at a mean of 7.0 (range: 6.7–7.2) months after the surgery. No patient reported complications or reruptures.

Conclusion Our study confirms encouraging results for the treatment of Achilles tendon rupture with a minimally invasive technique with semitendinosus graft augmentation. The technique can be considered safe and allows patients to return to their sports activity.

Level of Evidence Level IV, therapeutic case series.