12:45

Integra Achillon to repair Achilles rupture. surgical technique

Overview

Subscribe to get full access to this operation and the extensive Foot Surgery Atlas.

SUBSCRIBE


Learn the Integra Achillon to repair Achilles rupture. surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Integra Achillon to repair Achilles rupture. surgical procedure.

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. It also has the benefit of being one of the systems with the longest track-record for minimally invasive Achilles repair.

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. The key papers to be read are: Limited open repair of Achilles tendon ruptures: a technique with a new instrument and findings of a prospective multicenter study. Assal M et al. JBJS (Am) 2002; 84: 161-70, Early, active rehabilitation following mini-open repair of Achilles tendon rupture: a prospective study. Calder JD, Saxby TS. Br J Sports Med 2005; 39: 857-9 and Outcome following use of the Achillon jig for the repair of acutely ruptured Achilles tendons. Davies H, Agrawal Y, Blundell C, Davies MB. Injury 2017; 48: 781-3.

Author: Mark Davies FRCS (Tr & Orth)

Institution: The Northern General Hospital, Sheffield ,UK.

Feedback

  • Each operation and the questions associated become named course in the CPD section
  • The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
  • You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
  • The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
  • There are four possible answers of which one is correct (or on occasion more correct) than the others.
  • There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
  • The course is completed once all the lessons are read and quizzes submitted and passed.
  • On successful completion of each quiz you will receive a validated certificate in your CPD folder.
  • Your dashboard also will contain a record of the time you have spent logged onto and using the site.
  • The timer suspends after 5 minutes though if there is no activity.
  • When you restart you will resume at the same point in the module.
  • Once you have completed each quiz you will need to feedback on the module first then click “submit” and your paper will be marked.
    The pass mark is 75%.
  • If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
  • Once these have been read you can re-do just the questions you failed on.
  • Once you have passed the quiz you can return at a future stage & resit .
Continue to Course Content

COURSE

Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.

Our content is designed for both Surgeons in independent practice and Surgeons in training.

COURSE PROGRESS

Lessons Status
QuizzesStatus

Accreditations

Logo Logo Logo Logo

Associates & Partners

Logo Logo Logo Logo Logo