Beruflich Dokumente
Kultur Dokumente
We repair Achilles tendon ruptures without an open surgery. Over the past 20 years,
we have optimized a technique allowing us to avoid making an open incision and
preserve the growth factors to speed healing and decrease infection. Our technique is
called Percutaneous Achilles Repair and works by passing sutures through the skin
and pulling the ruptured ends of the tendon together allowing the tendon to heal
back to its normal strength.
No full incision
Less scarring
Less pain
Shorter surgery
The tendon sheath, holding the blood clot that forms at the time of the tendon
rupture is kept intact, permitting rapid healing of the tendon.
Surgical technique
The proximal portion of the tendon, as identified by palpation and MRI, is captured
with a #1 Tevdek suture placed transversely through the skin and the tendon and out
the opposite side.
This suture is then crisscrossed through the tendon, the gap at the rupture site, and
finally through the distal portion of the tendon just above the calcaneus, through the
skin punctures.
A second stitch is placed after the first one and is tied with the foot in plantar
flexion. A dressing is applied and the foot is placed in a plantar flexed pre-formed
padded splint.