Sáenz GMC, Nares ZCJ, de los Santos MA

Language: Spanish
References: 15
Page: 474-477
PDF size: 1092.00 Kb.

ABSTRACT

A case of Achilles tendon re-rupture in a patient previously managed conservatively was treated with minimally invasive surgery. A percutaneous repair was performed using the PARS (Percutaneous Achilles Repair System) technique with double calcaneal anchors (Arthrex®), supplemented with synthetic augmentation (Artelon® band). This approach enabled knotless suture fixation and secure tendon reinsertion. Recovery was uneventful, with appropriate healing and progressive functional improvement. This case report highlights a successful strategy in the management of a complex Achilles tendon injury, combining modern technologies to optimize biomechanical strength and surgical repair reliability of the Achilles tendon.

REFERENCES

1. Chio Magaña R, Díaz Oropeza RO, Morales Camporredondo I.Ruptura del tendón de Aquiles inducida por fluorquinolonas. ActaMed Grupo Ángeles. 2008; 6 (3): 128-130.

2. Willits K, Amendola A, Bryant D, Mohtadi NG, Giffin JR, Fowler P etal. Operative versus nonoperative treatment of acute Achilles tendonruptures: a multicenter randomized trial using accelerated functionalrehabilitation. J Bone Joint Surg Am. 2010; 92 (17): 2767-2775.

3. Seow D, Islam W, Randall GW, Azam MT, Duenes ML, Hui J et al.Lower re-rupture rates but higher complication rates following surgicalversus conservative treatment of acute Achilles tendon ruptures: asystematic review of overlapping meta-analyses. Knee Surg SportsTraumatol Arthrosc. 2023; 31 (8): 3528-3540.

4. Hsu AR, Jones CP, Cohen BE, Davis WH, Ellington JK, Anderson RB.Clinical outcomes and complications of percutaneous Achilles repair system versus open technique for acute Achilles tendon ruptures.Foot Ankle Int. 2015; 36 (11): 1279-1286.

5. Raimondi N, Massetti S, Villada A. Tratamiento de la lesión aguda deltendón de Aquiles mediante una técnica mínimamente invasiva sinnudos. Rehabilitación y carga de peso inmediata. Rev Asoc ArgentOrtop Traumatol. 2021; 86 (3): 356-364.

6. Giza E, Frizzell L, Farac R, Williams J, Kim S. Augmented tendonAchilles repair using a tissue reinforcement scaffold: a biomechanicalstudy. Foot Ankle Int. 2011; 32 (5): S545-S549.

7. Haroun HK, Abd Elrahman AA, Morsi A. Synthetic graft augmentationis safe and effective for the repair of acute achilles tendon rupture inpatients with preexisting tendinopathy. Arthrosc Sports Med Rehabil.2022; 4 (6): e2079-e2087.

8. Shoaib A, Mishra V. Surgical repair of symptomatic chronic Achillestendon rupture using synthetic graft augmentation. Foot Ankle Surg.2017; 23 (3): 179-182.

9. Mohamed A, Oliva F, Nardoni S, Maffulli N. Failed synthetic graft afteracute Achilles tendon repair. Muscles Ligaments Tendons J. 2017; 7(2): 396-402.

10. Westin O, Nilsson Helander K, Gravare Silbernagel K, SamuelssonK, Brorsson A, Karlsson J. Patients with an Achilles tendon re-rupturehave long-term functional deficits and worse patient-reportedoutcome than primary ruptures. Knee Surg Sports Traumatol Arthrosc.2018; 26 (10): 3063-3072.

11. González-Murillo M, Rodrigo-Alonso A, Figueiredo-González H,Salgado-Rodrigo AM, Mota-Blanco SM. Tratamiento conservador derotura crónica de tendón de Aquiles: reporte de caso. Acta OrtopMex. 2016; 30 (6): 323-325.

12. Vuldzhev M, Linkwinstar J, Koynarski F. Case series report:reconstruction of chronic Achilles tendon rupture with semitendinosusautograft combined with vulpius technique. Cureus. 2022; 14 (12):e32325.

13. Anaim AA. Use of a non-crosslinked porcine dermal matrix in repairof the Achilles and other tendons of the foot. Foot Ankle Spec. 2018;11 (6): 514-519.

14. Soroceanu A, Sidhwa F, Aarabi S, Kaufman A, Glazebrook M. Surgicalversus nonsurgical treatment of acute Achilles tendon rupture: ameta-analysis of randomized trials. J Bone Joint Surg Am. 2012; 94(23): 2136-2143.

15. Tai CH, Li YC, Wu TC, Yang KC, Wang CC. Reconstruction of an openAchilles tendon rupture with a large soft tissue defect using an Achillestendon allograft and distally based sural artery neurocutaneous flap:a case report. Cureus. 2025; 17 (2): e78360.