Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery

The Achilles tendon is the strongest and largest tendon in the body. It is a tendinous structure (attaches muscle to bone) that originate from a combination of the gastrocnemius-soleus muscle located in the calf. The tendon attaches to the calcaneus and causes the foot to push off (planter flexion) when the calf muscles contracts. The tendon is necessary for normal walking, running, and jumping. Athletic and traumatic injuries to the Achilles tendon are common and can be disabling. Most of Achilles tendon rupture occur in middle-aged, healthy, active individuals. Diagnosis of these problems by history, clinical examination (the calf-squeeze test (Thompson test) determines a rupture) and investigation as ultrasound and MRI are used to evaluate suspected ruptures for accurate diagnosis and management of the Achilles tendon Purpose: to propose an easy and simple technique for Achilles Tendon repair through minimal intervention to reduce the rate of complications in comparison with other percutaneous and open techniques.Methods: Twenty patients were recruited diagnosed with acute tear in Achilles tendon , . They were all subjected to our presented technique for percutaneous repair, with pre- and post-operative evaluation.All our cases were followed up for 6 months regarding return to functional activity and they were also followed up for emergence of postoperative complications.Results: more than 85% showed full improvement with return to functional activity in the preinjurystatus ,improvement also in case of postoperative complications management

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