Achilles Tendon Repair

There is still much controversy in the literature regarding the best treatment for ruptures of the Achilles tendon. After a brief review of the literature regarding the advantages and disadvantages of conservative, open surgery and percutaneous and mini-invasive surgical techniques, we suggest an algorithm treatment for Achilles tendon ruptures. Based on our extensive experience, we believe that the surgical technique should be chosen according to both the type of lesion and the type of patient injured; the factors to be considered are age, rupture-predisposing factors, risk factors, general condition, functional capacity, sport activity level, lesion level and the gap of the lesion. We then consider two different minimally invasive surgical techniques: the percutaneous Ma and Griffith modified technique and the minimally invasive Achillon System technique.