J Korean Foot Ankle Soc.  2011 Sep;15(3):144-148.

Clinical Result of Modified Percutaneous Repair Technique of Ruptured Achilles Tendon

• Baek JR
• Kwak JH
• Won JS
• Park HG

Abstract

PURPOSE
To investigate the results of percutaneous repair technique of Achilles tendon ruptures, and to describe the surgical technique.
MATERIALS AND METHODS
We retrospectively analyzed the outcomes of 73 patients with ruptured Achilles tendon from October 1995 to September 2009. 28 patients were excluded due to short follow up period. 34 patients were male and 11 patients were female. The mean patient age was 37.19 (10~62) years. The location of rupture site was 6.58 cm proximal to the tendon insertion into the calcaneus on average. Mean follow up period was 55 months and All patients were surgically repaired using percutaneous technique with sural nerve isolation.
RESULTS
Arner-lindholm score were excellent in 32 (71%), good in 12 (27%), poor in 1 (2%) case. 44 cases (98%) had the score more than good. Mean American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot function score was 92.93 (67~100). We had 1 case of superficial infection, 1 case of soft tissue irritation by suture knot.
CONCLUSION
Percutaneous repair with sural nerve isolation in treating ruptured Achilles tendon showed low complication rate and reliable clinical outcome.

Keyword

Achilles tendon; Percutaneous repair; Sural nerve

MeSH Terms

Achilles Tendon
Animals
Ankle
Calcaneus
Female
Follow-Up Studies
Foot
Humans
Male
Organic Chemicals
Orthopedics
Retrospective Studies
Rupture
Sural Nerve
Sutures
Tendons
Organic Chemicals