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Background: The incidence rates of Achilles tendon (AT) ruptures varies, with previous studies reporting a rate of 18 patients per 100,000 patient populations annually and has been shown to be increasing. The treatment of acute Achilles tendon ruptures can be broadly classified into operative and non-operative. Objective: Management of Achilles tendon rupture to evaluate the results of percutaneous suture technique followed by early functional postoperative treatment for surgical intervention of Achilles tendon ruptures, and to assess wound complication and hospital stay. Patients and Methods: A prospective operation clinical study of 18 patients with complete tear of Achilles tendon who underwent percutaneous suture repair (the Ma-Griffith technique). Follow up clinical evaluation was performed and any complications were recorded. Results: Mean of Achilles Tendon Total Rupture Score (ATRS) was 90.1 ± 4.2. The mean Overall patient's satisfaction was 8.8 ± 0.83 ranged from 8 to 10 and the mean Aesthetic satisfaction was 9.5 ± 0.51 ranged from 9 to 10. Only one patient had sural nerve injury and another one had infection. Conclusions: Our results suggested that satisfactory clinical and functional outcomes can be obtained for percutaneous sutures technique in the treatment of Achilles tendon ruptures.

Objectives: Assessment of treatment of severe infantile tibia vara by high tibial osteotomy and epiphysiolysis of the proximal medial tibia. Patient and methods: Between January 2009 and May 2014, 14 cases of severe tibiae vara were treated by medial epiphysiolysis and high tibial vulgus osteotomy. Mean age at operation was 7 years (range 5-8 years). Preoperative radiological assessment was done by long x-ray film anteroposterior and lateral. Post-operative clinical and radiological follow up for four years. Postoperatively, the patient is monitored for resumption and continuation of growth. The procedure was successful in restoring growth and correction of angular deformity. Result: All cases had good results with no recurrence and no post-operative complications with mean full up of four years. Conclusions: Medical epiphysiolysis combined with high valgus osteotomy is a good alternative for recurrent osteotomies in cases of severe tibia vara as it restores proximal tibial growth.