Description of minimally invasive technique for the surgical treatment of acute Achilles tendon ruptures with locking suture – a low-cost option

Abstract

Acute Achilles tendon rupture is a frequent injury of the lower limbs, and there is controversy regarding the ideal treatment. Several methods are described in the literature, including conservative treatment, open repair, and minimally invasive surgery. Open repair is associated with a higher complication rate, while minimally invasive techniques present an increased risk of iatrogenic sural nerve injury. Some devices have been developed to reduce the complications of the first minimally invasive techniques described. We present a technique to repair acute Achilles tendon injuries in a minimally invasive surgery using simple materials available in most operating rooms without special instruments. Associated with this technique, we adopted a protocol of early functional rehabilitation, which has already proven beneficial in recovering the patient’s functions. Level of Evidence V; Therapeutic Studies; Expert Opinion.