[Minimally invasive surgical treatment of recent achilles tendon rupture]

The Achilles tendon rupture represents a acute, invalidating pathology with a increasing trend. It affects the young active adult and the treatment indications have not developed a standard yet. The treatment can be conservative (cast immobilization) or operative. The aim of the study is the widespread of the authors experience with the percutaneous suture of the fresh Achilles tendon rupture, a accessible and effective treatment method of a lesion which is of a larger interest then just of the orthopedic surgeon. This minimal invasive technique combines the benefits of the conservative treatment--low complication incidence--with those of the surgical treatment were the union rate is higher. The suture material makes no difference. The use of 1,5 mm PDS cord or normal, braided 0 nylon has offered the same good end result. The costs are lowered by the short operative time and hospitalization period and the patients returned to the anterior activity at 6-8 weeks after injury. At the same time the cosmetic result is very good. This technique could be set as a standard for the treatment of the fresh Achilles tendon rupture.