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Integra Achillon to repair Achilles rupture. Surgical Technique

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CPD/CME Points: 1

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Operative repair of the acutely ruptured Achilles tendon allows controlled apposition of the tendon ends and restoration of the normal length of the triceps surae musculo-tendinous unit.

This may be the preferred method of treatment in active patients and in those patients where the gap between the tendon ends does not close sufficiently with the ankle placed into maximal plantar-flexion (as assessed on a pre-operative ultrasound scan).

The Integra Achillon limited open repair technique permits direct visualisation and apposition of the ruptured Achilles tendon ends whilst limiting the extent of the soft tissue dissection. It has the benefit of using a much smaller incision than conventional open repair techniques which probably provides advantage with respect to superficial wound complications

The published results using the Integra Achillon emphasise the need for careful execution of technique and in particular placement of the Achillon jig between the discreetly dissected  layers of the fascia cruris and paratenon to minimise the chance of Sural nerve injury.

Author: Mark Davies FRCS (Tr & Orth)

Institution: The Northern General Hospital, Sheffield ,UK.

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