A tendon graft weave using an acellular dermal matrix for repair of the Achilles tendon and other foot and ankle tendons.

Many techniques are available to repair tendon ruptures of the Achilles tendon as well as other foot and ankle tendons. The purpose of this article was to present a technique of tendon repair that is a combination of a tendon graft inlay with a Pulvertaft-type tendon weave using an acellular human dermal matrix graft with a resultant "strip and shoelace." A description of the technique, along with 3 case reports, is included. Tendon donor site morbidity problems associated with tendon transfer procedures are avoided by use of this dermal matrix weave. This procedure is felt to have enhanced strength with less bulk than soft tissue graft wrap procedures.