J Korean Foot Ankle Soc.  2015 Sep;19(3):77-80. 10.14193/jkfas.2015.19.3.77.

Treatment of Acute Achilles Tendon Rupture

  • 1Department of Orthopaedic Surgery, Guro Hospital, Korea University College of Medicine, Seoul, Korea. dakjul@hanmail.net


Acute Achilles tendon rupture is a frequent injury during sports and recreational activities. Treatments for Achilles tendon rupture have been controversial in recent decades. Traditionally the surgical treatment had benefit over nonsurgical treatment in terms of low rerupture rate and early functional restoration. Recently, nonsurgical treatment was found to show no statistically significant inferiority in re-rupture rate, functional outcome, and calf strength. Whereas, surgical treatment had some complications including adhesion, nerve injury, and infection. Nonsurgical treatment has been increasing due to functional rehabilitation with early weight bearing and restricted early motion. It focuses more attention on the course of caring for patients with deep discussion. There are open repair and minimally invasive repair in terms of surgical treatment. There are various techniques for minimally invasive repair of Achilles tendon, which has some advantages over the open repair. However, the optimal technique for minimally invasive repair has not been established. The number of suture strands is important regardless of suture technique.


Achilles tendon; Rupture; Treatment; Surgical; Nonsurgical

MeSH Terms

Achilles Tendon*
Suture Techniques


  • Figure 1. Radiographic findings of Achilles tendon rupture. (A) Loss of Kager's triangle was seen in simple radiograph (arrow). (B) Loss of fibercon-tinuation and hypoechogenicity were seen in ultrasonography (arrow). (C) Achilles tendon rupture was seen in magnetic resonance image (arrow).

  • Figure 2. Functional hinged brace was applied to a patient with Achilles tendon rupture for early weight bearing and restricted ankle motion.

  • Figure 3. (A) This is a schematic drawing showing Krackow suture technique for Achilles tendon repair. (B) This is a schematic drawing showing Bunnell suture technique for Achilles tendon repair. (C) This is a schematic drawing showing Kessler suture technique for Achilles tendon repair.



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