title: Acute Achilles Rupture Percutaneous Repair: Approach, Materials, Techniques.
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.
authors.affiliation: Orthopedics & Sports Medicine, BayCare Clinic, 2020 Riverside Drive, Green Bay, WI 54301, USA. Electronic address: skisnfeet@hotmail.com.
authors.forename: Jason George
authors.initials: JG
authors.lastname: DeVries
authors.affiliation: Orthopedics & Sports Medicine, BayCare Clinic, 2020 Riverside Drive, Green Bay, WI 54301, USA.
authors.forename: Brandon M
authors.initials: BM
authors.lastname: Scharer
authors.affiliation: Orthoaedic Surgery, University of Missouri Health, 1100 Virginia Avenue, Columbia, MO 65212, USA.
authors.forename: Benjamin J
authors.initials: BJ
authors.lastname: Summerhays
mesh_terms: D000125:Achilles Tendon / Q000293:injuries / Q000601:surgery*; D000208:Acute Disease; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D010147:Pain Measurement; D059348:Peripheral Nerve Injuries / Q000209:etiology / Q000517:prevention & control; D011182:Postoperative Care / Q000379:methods; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D020127:Recovery of Function; D018570:Risk Assessment; D012421:Rupture / Q000175:diagnosis / Q000601:surgery*; D013497:Sural Nerve; D053441:Suture Anchors; D013708:Tendon Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D016474:Weight-Bearing / Q000502:physiology; D014945:Wound Healing / Q000502:physiology*
keywords: Achillon; Midsubstance speed bridge; Minimally invasive; PARS; Sports medicine; Trauma