A Percutaneous Knotless Technique for Acute Achilles Tendon Ruptures

Daniel J. Liechti, Gilbert Moatshe, Jonathon D. Backus, Daniel Cole Marchetti, Thomas O. Clanton

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Achilles tendon ruptures are a common tendon injury, usually occurring in middle-aged men during recreational sporting activities. Both nonoperative and operative management are employed to treat these injuries. Several operative treatments are described in the literature, including percutaneous Achilles repair, mini-open repair, and open repair. Open Achilles repair is associated with higher rates of impaired wound healing and infection, whereas minimally invasive techniques have been reported to have an increased risk of iatrogenic sural nerve injury. More recently, low complication rates, improved cosmetic appearance, reduced operating times, and improved clinical outcomes have been reported for the percutaneous Achilles repair technique. In this Technical Note, we present our preferred technique using the Percutaneous Achilles Repair System (Arthrex, Naples, FL), which has been reported to have minimal wound and nerve complications, and early return to activity.

Original languageEnglish
Pages (from-to)e171-e178
JournalArthroscopy Techniques
Volume7
Issue number2
DOIs
StatePublished - Feb 2018

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