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Percutaneous Achilles tendon repair

Department of Orthopaedic Surgery, Northwestern University Medical Center, Chicago, Illinois

John Hefferon, MD

Department of Orthopaedic Surgery, Northwestern University Medical Center, Chicago, Illinois

James Hill, MD

Department of Orthopaedic Surgery, Northwestern University Medical Center, Chicago, Illinois

Fourteen patients underwent percutaneous Achilles tendon repairs between 1982 and 1989 for ruptures approximately 2 to 8 cm from the calcaneal insertion. They were evaluated subjectively (questionnaires) and objectively (physical examinations, Cybex II dynamom eter). The minimum follow-up time was 2 years with an average of 3.8 years. Subjectively, all of the patients were satisfied with their overall results. Objectively, no significant difference was demonstrated by Cybex II evaluation at 60 and 120 deg/sec. A significant differ ence was seen at 180 deg/sec, but this represented only a 13% loss of power. No infections, delayed wound healing, reruptures, or evidence of thrombophlebitis were noted. There was one sural nerve injury.

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