Enhanced Tenodesis for Retrocalcaneal Surgery

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.