Document Type

Article

Publication Title

Journal of the American Podiatric Medical Association

Abstract

In foot and ankle surgery, allograft tendons are frequently used in both primary and revision cases to enhance stability and function. However, postoperative complications, such as creep, can compromise the intended correction and stability over time. This paper presents a practical guide on pretensioning techniques prior to implantation, aiming to reduce creep and improve long-term outcomes. Using two common allograft specimens, we demonstrate pretensioning methods with specific focus on tendon stitching, techniques for securing the allograft to the graft board, optimal tensioning and time parameters. We recommend pretensioning at 80 N for approximately 30 min to effectively decrease creep and maintain correction. This technique guide offers foot and ankle surgeons streamlined methods for tendon preparation to improve efficiency and consistency in the operating room.

First Page

59

Last Page

59

DOI

10.3390/japma116050059

Publication Date

8-26-2026

Download

Included in

Surgery Commons

Share

COinS