Achilles tendon rupture vestigial muscle is harvested and wrapped around the Achilles tendon, increasing the strength of the repaired tendon. If the tissue quality is poor, e.g. the injury has been neglected, the surgeon might use a reinforcement mesh (collagen, Artelon or other degradable material). In percutaneous surgery, the surgeon makes several small incisions, rather than one large incision, and sews the tendon back together through the incision(s). Surgery may be delayed for about a week after the rupture to let the swelling go down. For sedentary patients and those who have vasculopathy or risks for poor healing, percutaneous surgical repair may be
Tendon transfer used to restore a single function. Transfer of one tendon to restore multiple functions will compromise strength and movement. These are examples of commonly performed tendon transfers. Many of the lower extremity tendon transfers were performed during the nineteenth century to improve ambulation in polio patients due to post-poliomyelitis paralysis. In the beginning o twentieth century, tendon transfers were used to correct congenital talipes equina. Tendon transfers were extensively performed during World Wars I and II to patients with upper extremity injuries. Tendon transfer A tendon transfer is a surgical process in which the insertion of a tendon is moved,