Repair of Acute Achilles Tendon Rupture Using a Double-Ended Needle

Abstract

This double-ended needle repair technique is simple and reproducible. The needle is easy to make using a standard mini Steinmann pin with minimal cost. Combined with appropriate rehabilitation, the technique achieves good results and is associated with a low morbidity and complications.

Everything Achilles: Knowledge Update and Current Concepts in Management

“…Those studies revealed no significant difference in the number of patients who returned to functional activities, in the ability to perform activities of daily living, or in patient satisfaction. There was also no difference in rerupture rate compared with open repair 65,66 . However, patients treated with the percutaneous technique had a lower incidence of wound breakdown or healing complications 65 .…”

“…A multilayer closure helps to reduce skin tension and helps to prevent the formation of postoperative tendon adhesions to skin. 65,66 . Those studies revealed no significant difference in the number of patients who returned to functional activities, in the ability to perform activities of daily living, or in patient satisfaction.…”

“…The use of a modified splint or orthotic with early mobilization at two to four weeks is recommended, as a higher rate of return to sport activities at twelve months has been demonstrated 74 . Patients can usually return to light jogging at three to six months 66 .…”

Acute Achilles Tendon Ruptures

“…Two Level II studies have compared percutaneous repair with open repair. 32,46 These studies were unable to show any difference in return to sport or activities of daily living or in patient satisfaction. The percutaneous repair technique did not have a significantly different rerupture compared with open repair.…”

The arterial anatomy of the Achilles tendon: Anatomical study and clinical implications

“…Operations with limited incisions to the tendon are less likely to cause arterial disruption if guided by the findings of this study. Percutaneous tenotomy has shown to be very successful, particularly in terms of healing and complication rates, which might be due to the conservation of the paratenon and deep fascia (Majewski et al, 2006;Ng et al, 2006). If incision to the deep fascia and paratenon is unavoidable, a posterior longitudinal incision, based on the median line, is most desirable as it will cause the least amount of vascular disruption.…”