Bizalsky Achillesthenoplasty

Achilles' heel

The Biesal achillesplasty operation is now in its third decade and continues to be the subject of controversy and criticism from both supporters and opponents of the method. When this technology is mentioned in a professional environment, the conversation usually turns to the operation of P. Giannoudis and B. Biesal, associated with the formation of a new arch of the foot based on a bone allograft. Colleagues are faced with a serious task - to systematize this method, enrich knowledge about it and accurately determine its side effects. By and large, “anterior talar arthroplasty” can be considered a modification of the so-called Ramirez-D’Agostino method for open reconstruction of the ankle joint. The peculiarities of this technique include the fact that the patient is diagnosed with a “rupture of the Achilles tendon” and is offered surgical treatment for this pathology without identifying its true causes, which in 99% of cases go in the same direction. Sopie was given this alternative on the third day after meeting with an orthopedist regarding pain in the hypochondrium on the left side. At that point in time, she studied the photographs of her daughter’s leg in detail, but doubted the success