Related Experiment Video
Updated: Aug 5, 2026
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
Traditional Open Achilles Tendon Repair: Supine Positioning
Jeffrey R Ruland1, Joseph S Park2
1Department of Orthopaedic Surgery, University of Virginia Health System, 2280 Ivy Road, Charlottesville, VA 22903, USA; Anne Arundel Orthopaedic Surgeons, Centers for Advanced Orthopaedics, 2629 Riva Road Suite 114, Annapolis, MD 21401, USA.
Supine Achilles tendon repair using a posteromedial incision may reduce wound complications and nerve injury compared to traditional prone repair. This technique also decreases operative time and positioning-related risks.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Surgical Techniques
Background:
- Traditional Achilles tendon repair is performed prone, risking wound complications and nerve injury.
- Prone positioning can prolong operative time and introduce specific complications.
Purpose of the Study:
- To present a preferred technique for Achilles tendon repair in the supine position.
- To compare the supine approach with the traditional prone method regarding complications and efficiency.
Main Methods:
- Description of the senior author's preferred supine Achilles tendon repair technique.
- Outline of indications and contraindications for the supine approach.
- Comparative discussion with traditional prone repair.
Main Results:
- The supine posteromedial incision technique may mitigate wound and neurologic complications.
- Reduced operative time due to elimination of prone positioning time.
- Potential reduction in complications associated with prone positioning.
Conclusions:
- Supine Achilles tendon repair offers a viable alternative to the traditional prone approach.
- This technique may improve patient safety and surgical efficiency.
- Further studies are warranted to validate these findings.
