Percutaneous Repair Technique for Acute Achilles Tendon Rupture with Assistance of Kirschner Wire

• Main Authors: Ze‐yang He, Ming‐xiang Chai, Yue‐ju Liu, Xiao‐ran Zhang, Tao Zhang, Lian‐xin Song, Zhi‐xin Ren, Xi‐rui Wu
• Format: Article
• Language: English
• Published: Wiley 2015-11-01
• Series: Orthopaedic Surgery
• Subjects: Acute Achilles tendon rupture; Kirschner wire; Percutaneous repair
• Online Access: https://doi.org/10.1111/os.12201

The aim of this study is to introduce a self‐designed, minimally invasive technique for repairing an acute Achilles tendon rupture percutaneously. Comparing with the traditional open repair, the new technique provides obvious advantages of minimized operation‐related lesions, fewer wound complications as well as a higher healing rate. However, a percutaneous technique without direct vision may be criticized by its insufficient anastomosis of Achilles tendon and may also lead to the lengthening of the Achilles tendon and a reduction in the strength of the gastrocnemius. To address the potential problems, we have improved our technique using a percutaneous Kirschner wire leverage process before suturing, which can effectively recover the length of the Achilles tendon and ensure the broken ends are in tight contact. With this improvement in technique, we have great confidence that it will become the treatment of choice for acute Achilles tendon ruptures.