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Enhanced Tenodesis for Retrocalcaneal Surgery

Gerard V. Yu Diplomate, American Board of Podiatric Surgery; Fellow, American College of Foot and Ankle Surgeons; Director of Podiatric Medical Education and Residency Training, St Vincent Charity Hospital, Cleveland, OH; Faculty Member, The Podiatry Institute, Tucker, GA. Mailing address:23823 Lorain Rd, Ste 280, North Olmstead, OH 44070.

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Glenn D. Weinfeld Submitted during third-year podiatric surgical residency, St Vincent Charity Hospital, Cleveland, OH.

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Paul O. Gorby Submitted during second-year podiatric surgical residency, St Vincent Charity Hospital, Cleveland, OH.

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Michael D. Dujela Submitted during second-year podiatric surgical residency, Southwest General Health Center, Cleveland, OH.

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Stephen Frania Diplomate, American Board of Podiatric Surgery; private practice, Mentor, OH.

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Retrocalcaneal surgery is complex and difficult. Over the years, many different approaches to retrocalcaneal surgery have been described. Partial or total release of the tendo Achillis is often necessary, with reattachment being of paramount importance to allow for optimal function following surgery. Although numerous anchoring devices have been introduced for tendo Achillis reattachment, the authors have found the DePuy TiMAX Spider Plate (DePuy ACE, Warsaw, Indiana) to be superior. This article describes the Spider Plate and associated surgical technique, which have greatly enhanced the outcome of retrocalcaneal surgery. (J Am Podiatr Med Assoc 92(4): 200-209, 2002)

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