Percutaneous Achilles Repair COA

Description: The optimal treatment for acute Achilles tendon ruptures remains controversial, and recent advances in both operative and nonoperative treatments have not resolved this debate. Advances in operative management have included evolving suture techniques, increased suture strength, as well as methods of percutaneous and mini-open repair. Although many studies show definite advantages of open over nonoperative repair, historically high wound complication rates and infections reported in open repairs have served as an impetus to try less invasive procedures. Percutaneous repair was first described by Ma and Griffith in 1977 to take advantage of the benefits of both open and nonoperative treatment techniques.
Monika Volesky, M.D., FRCSC COA Bulletin Issue 78 2007