Abstract
Fourteen Achilles tendons of fourteen patients who underwent percutaneous suture for acute subcutaneous rupture were followed clinically for five months to eight years and nine months (with a mean of three years and seven months).
All patients were successfully repaired using a percutaneous suturing repair technique. No re-rupture has occurred. Patients showed a 96% recovery of the uninjured contralateral side in planter flexion power. No patient lost ankle motion postoperatively. Two patients complained of postperative sensory disturbance associated with neuropathy of the sural nerve. Three were no infections, skin necrosis, suture extrusions or painful scar formations.
We concluded that percutaneous suture with care to the sural nerve is a good surgical procedure for repairing acute Achilles tendon ruptures.