Acute Achilles Rupture Percutaneous Repair: Approach, Materials, Techniques

Clin Podiatr Med Surg. 2017 Apr;34(2):251-262. doi: 10.1016/j.cpm.2016.10.011. Epub 2017 Jan 19.

Abstract

Closed traumatic Achilles tendon rupture is a common injury, especially in the aging athlete. Traditionally open repair has been recognized to offer a lower rerupture rate compared with nonoperative methods but with a higher complication rate. Percutaneous repair has been described to offer the benefits of open repair while avoiding the complications. The sural nerve is potentially susceptible to injury, and specialized instrumentation has been developed to avoid this event. This article discusses several techniques of minimally invasive Achilles tendon repair. Many authors have evaluated these techniques and the results are discussed here.

Keywords: Achillon; Midsubstance speed bridge; Minimally invasive; PARS; Sports medicine; Trauma.

Publication types

  • Review

MeSH terms

  • Achilles Tendon / injuries
  • Achilles Tendon / surgery*
  • Acute Disease
  • Female
  • Humans
  • Injury Severity Score
  • Male
  • Minimally Invasive Surgical Procedures / adverse effects
  • Minimally Invasive Surgical Procedures / methods
  • Pain Measurement
  • Peripheral Nerve Injuries / etiology
  • Peripheral Nerve Injuries / prevention & control
  • Plastic Surgery Procedures / adverse effects
  • Plastic Surgery Procedures / instrumentation
  • Plastic Surgery Procedures / methods*
  • Postoperative Care / methods
  • Recovery of Function
  • Risk Assessment
  • Rupture / diagnosis
  • Rupture / surgery*
  • Sural Nerve
  • Suture Anchors*
  • Tendon Injuries / diagnostic imaging
  • Tendon Injuries / surgery*
  • Weight-Bearing / physiology
  • Wound Healing / physiology*