Reconstruction of degenerated ruptures of the tendoachilles
is a challenge. Ruptured tendons and the remaining tendon
ends are abnormal. A number of methods have been
described in literature reconstruct the tendoachilles, but with variable results1. We used peroneus brevis tendon in 20 patients to augment the repair of degenerated tendoachilles tears by creating a dynamic loop as described by Teuffer et al2. All patients were followed up for atleast 18 months. At the last postoperative visit, 18 out of 20 patients were able to do a toe raise. Eighty-five per cent of patients had excellent
or good results and 15% had fair or poor results using
modified Rupp scoring. Advantages offered by this
procedure are the use of a single incision and mini incision and use of a dispensable tendon such as the peroneus brevis without entirely depending on the damaged tendon for healing.