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The case of a 41-year-old male patient without comorbidities is presented, with re-rupture of the Achilles tendon 5 years after his first end-to-end plasty. We performed a reconstruction with a lyophilized full thickness Achilles tendon graft; proposing an alternative fixation of the non-anatomical trans-osseous graft at the apex of the calcaneus body with an interference screw of Bio Composite Arthrex 9mm x 35mm. Clinical and imaging follow-up at 11 months.
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