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Related Experiment Video

Updated: Apr 24, 2026

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
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Achilles tendon repair, a modified technique.

Sohrab Keyhani1, Mohsen Mardani-Kivi1, Mohammadreza Abbasian1

  • 1Sohrab Keyhani MD, Department of Orthopedic Surgery, Akhtar Hospital Shahid Beheshti University of Medical Sciences, Tehran, Iran.

The Archives of Bone and Joint Surgery
|September 11, 2014
PubMed
Summary

Covering repaired acute Achilles tendon ruptures with surrounding tissues significantly reduces wound complications. This technique promotes healing and functional recovery in active patients, minimizing infection and pain.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Musculoskeletal Research

Background:

  • Wound complications after open repair of acute Achilles tendon ruptures (AATR) are a significant concern.
  • Investigating methods to minimize these complications is crucial for patient outcomes.

Purpose of the Study:

  • To evaluate the efficacy of covering repaired AATR with paratenon and deep fascia.
  • To assess the impact of this technique on wound complications and functional recovery.

Main Methods:

  • A case series of 32 active young patients undergoing open AATR repair.
  • The repaired tendon was covered with deep fascia and paratenon.
  • Two-year follow-up for wound complications, functional scores (AOFAS), range of motion, and return to sports.
Keywords:
Achilles tendonOpen repairWound complication

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Main Results:

  • A low incidence of deep wound infection (3%) was observed.
  • No cases of discomfort, footwear limitations, sural nerve injury, re-rupture, or skin adhesion occurred.
  • High average AOFAS score (92.5±6) and symmetrical calf circumference and ankle range of motion were noted.

Conclusions:

  • Fascial envelope coverage of repaired Achilles tendons effectively prevents wound complications.
  • This technique supports successful healing and functional restoration after AATR surgery.