The Internal Brace for Midsubstance Achilles Ruptures

Area of Science:

• Orthopedic surgery
• Sports medicine
• Biomechanical engineering

Background:

• Achilles tendon rupture repair is crucial for gait and athletic performance.
• Current operative techniques for Achilles midsubstance rupture have controversial optimal methods.
• Suboptimal outcomes, including wound complications and adhesions, are common post-repair.

Purpose of the Study:

• To introduce a new surgical technique for Achilles midsubstance rupture repair.
• To present the Achilles Mid-Substance Speed Bridge Repair utilizing the InternalBrace (IB) system.
• To address limitations of existing repair methods, focusing on soft tissue preservation and musculotendinous length restoration.

Main Methods:

• A novel technique combining the InternalBrace (IB) and a modified Percutaneous Achilles Repair System (PARS).
• The technique is knotless and designed to respect the soft tissue envelope.
• Intraoperative adjustment of musculotendinous length is facilitated by the IB system.

Main Results:

• The InternalBrace (IB) approach allows direct fixation to bone.
• Early mobilization is enabled, minimizing the risk of knot slippage.
• The technique aims to accelerate recovery and restore normal function.

Conclusions:

• The Achilles Mid-Substance Speed Bridge Repair offers a promising knotless solution for Achilles tendon ruptures.
• This technique respects the soft tissue envelope and allows for precise length control.
• It facilitates early mobilization, potentially leading to improved patient outcomes and faster return to function.