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Related Experiment Video

Updated: May 6, 2026

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Minimally invasive surgery for Achilles tendon pathologies.

Nicola Maffulli1, Umile Giuseppe Longo, Filippo Spiezia

  • 1Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, London, England.

Open Access Journal of Sports Medicine
|November 8, 2013
PubMed
Summary

Minimally invasive Achilles tendon (AT) surgery offers faster recovery and fewer complications than open surgery. Further research is needed to confirm long-term benefits of these advanced orthopedic techniques.

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Percutaneous repair of acute Achilles tendon tears with minimally invasive augmentation with the tendon of flexor hallucis longus: a 5 years outcome study.

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All-endoscopic autologous suspension fixation of semitendinosus tendon and gracilis tendon for insertional chronic Achilles tendon rupture: operative technique and outcomes.

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Comment on Gatti et al. Simultaneous Bilateral Reconstruction of Chronic Achilles Tendon Rupture with Flexor Digitorum Longus Transfer and Turndown Flaps: A Case Report and Review of Literature. <i>J. Clin. Med.</i> 2026, <i>15</i>, 922.

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Letter to the Editor: Does Insertional Reattachment for Acute Sleeve Avulsion Fracture of the Achilles Tendon Provide Sustained Function and Sports Participation?

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Achilles tendon ruptures: still very much in the limelight, and still controversial. Not all research is as glittering as it may look.

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Musculoskeletal Science

Background:

  • Minimally invasive surgery is gaining traction in trauma and orthopedics.
  • Traditional open surgery for Achilles tendon (AT) pathologies presents risks like poor wound healing and infection.
  • Minimally invasive AT surgery promises faster recovery, shorter hospital stays, and better functional outcomes.

Purpose of the Study:

  • To review recent advancements in minimally invasive Achilles tendon surgery.
  • To compare outcomes of minimally invasive techniques with traditional open procedures for AT pathologies.

Main Methods:

  • Review of recent advances in minimally invasive Achilles tendon surgery techniques.
  • Presentation of clinical experience with minimally invasive AT surgery for various pathologies.
Keywords:
less invasivepercutanous repairrupturetendinopathy

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  • Comparison of perioperative morbidity, hospital stay, and costs between minimally invasive and open surgery.
  • Main Results:

    • Minimally invasive surgery yielded results comparable to open surgery for AT conditions.
    • Observed benefits include decreased perioperative morbidity, shorter hospital stays, and reduced costs.
    • Current studies on these techniques are of moderate quality with limited follow-up.

    Conclusions:

    • Minimally invasive Achilles tendon surgery demonstrates potential for reduced complications and improved efficiency.
    • Long-term advantages require validation through multicenter studies with extended follow-up periods.
    • Further high-quality research is essential to establish the definitive benefits of minimally invasive orthopedic techniques.