Percutaneous Repair of Acute Achilles Tendon Rupture Using a Polyester Tape: Case Series

The Achilles tendon rupture can be treated either surgically (by open or percutaneous techniques) or nonoperatively (with cast immobilization or functional braces). Most recent reports have favored operative treatment. Minimally invasive techniques overcome the higher rate of complications by open techniques with low incidence of sural nerve injury and soft tissue problems. Between April 2011 and May 2013, 13 patients with acute Achilles tendon rupture underwent the minimally invasive surgical repair involving polyester tape with a short passing pin of anterior cruciate ligament set. Patients were assessed for rerupture, sural nerve injury, wound healing, and ability to return to preinjury activity. One sural nerve injury occurred. No rerupture occurred with fewer complications related to wound healing. This polyester tape technique is simple and reproducible and the needle is easy to make with minimal cost. Combined with appropriate rehabilitation, it achieves good results with low morbidity and complications. Level of Clinical Evidence: Diagnostic Level 4. See Instructions for Authors for a complete description of levels of evidence.
Source: Techniques in Foot and Ankle Surgery - Category: Orthopaedics Tags: Techniques Source Type: research