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. 2018 Dec;33(4):251-253.
doi: 10.1097/BTO.0000000000000251. Epub 2017 Dec 25.

Mini-open Repair of Achilles Tendon Rupture With the Patient in the Supine Position

Brent Cone  1 , Jackson Staggers  1 , Ashish Shah  1
Affiliations

Mini-open Repair of Achilles Tendon Rupture With the Patient in the Supine Position

Brent Cone et al. Tech Orthop. 2018 Dec.

Abstract

Surgical repair of the Achilles tendon is a common procedure for acute Achilles tendon ruptures. Variations in surgical technique and patient positioning exist, with the ultimate goal of achieving a durable repair while minimizing complications. Recently the use of a mini-open approach has been demonstrated to provide a durable repair that is comparable to using a larger traditional open approach. In this paper we describe a mini-open approach for surgical repair of the Achilles tendon while the patient is in the supine position.

Keywords: achilles rupture; achilles tendon repair; mini-open technique; supine.

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Figures

FIGURE 1
FIGURE 1
Intraoperative image depicting delivery of the distal tendon through the incision site with plantar flexion of the ankle.
FIGURE 2
FIGURE 2
Schematic example of the classic Krackow locking technique (A), versus the 4 strand double Krackow locking technique (B).
FIGURE 3
FIGURE 3
Intraoperative image demonstrating the 4 free suture ends after the double Krackow locking suture is applied to the distal tendon.
FIGURE 4
FIGURE 4
Intraoperative image of the approximation of the ruptured tendon edges after pairing and knotting the free suture ends.
FIGURE 5
FIGURE 5
Intraoperative image depicting the incision site measuring 3.5 cm after closure.
See this image and copyright information in PMC

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References

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