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Double Transverse Mini-Incision Repair for Proximal Achilles Tendon Tears
Taylor Stauffer1, Ryann Davie1, Josh Bram1
1Hospital for Special Surgery New York City New York U.S.A.
Arthroscopy Techniques
|July 25, 2026
Summary
This study presents a modified mini-open surgical technique for proximal Achilles tendon tears. The procedure offers a simple, reproducible method for tendon reapproximation, leading to high healing rates and reduced wound complications.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Tendon Repair
Background:
- Achilles tendon ruptures require careful management decisions.
- Surgical and nonoperative treatments show comparable outcomes, highlighting the need for precise surgical indications.
- Existing surgical techniques (open, mini-open, minimally invasive) have distinct benefits and drawbacks.
Purpose of the Study:
- To describe a modified double transverse mini-open repair for proximal Achilles tendon tears.
- To address the challenge of limited distal stump mobility in proximal tears.
- To achieve effective tendon reapproximation and a high healing rate.
Main Methods:
- A modified double transverse mini-open repair technique is detailed.
- The procedure focuses on reapproximating torn ends of the proximal Achilles tendon.
- Emphasis is placed on addressing limited distal stump mobility.
Main Results:
- The described technique allows for effective reapproximation of proximal Achilles tendon tears.
- The method demonstrates a high healing rate.
- It offers simplicity and high reproducibility.
Conclusions:
- This modified mini-open technique provides a valuable option for proximal Achilles tendon rupture repair.
- It minimizes disruption to the superficial tissues, reducing the risk of wound complications such as surgical site infections and skin-tendon adhesions.