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Updated: Dec 28, 2025

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

Published on: December 10, 2021

Mini-Open Achilles Tendon Rupture Repair.

Emilio Wagner¹, Pablo Wagner¹

¹Universidad del Desarrollo-Clinica Alemana, Santiago, Chile.

JBJS Essential Surgical Techniques

|February 14, 2020

Summary

This mini-open Achilles tendon repair technique avoids the paratenon and sural nerve, promoting gastrocnemius-soleus function recovery with rare complications. Patients can expect a high functional level and low rerupture rates after rehabilitation.

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Area of Science:

Orthopaedic Surgery
Sports Medicine
Musculoskeletal Repair

Background:

Presents a novel mini-open technique for Achilles tendon rupture repair.
This method avoids opening the paratenon and protects the sural nerve.
Aims to restore gastrocnemius-soleus musculotendinous unit length and minimize soft-tissue complications.

Purpose of the Study:

To describe a minimally invasive surgical approach for Achilles tendon ruptures.
To detail a technique that preserves the paratenon and avoids sural nerve injury.
To achieve optimal functional recovery with reduced complication rates.

Main Methods:

A 3-cm incision is made proximal to the rupture site.
Bone anchors with nonabsorbable sutures are inserted into the calcaneus via small distal incisions.

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Sutures are passed through the tendon stumps using specialized instruments and secured to restore physiological equinus.

Main Results:

The technique allows for near-complete recovery of gastrocnemius-soleus function.
Soft-tissue complications are infrequent, enabling early rehabilitation.
A low rerupture rate (2%) and an average return to work of 56 days are reported.

Conclusions:

This mini-open technique offers a safe and effective alternative for Achilles tendon rupture repair.
It minimizes surgical trauma and preserves critical anatomical structures.
The approach facilitates early rehabilitation and high functional outcomes.