Related Experiment Video
Updated: Aug 17, 2026
A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
Published on: December 10, 2021
Achilles tendon repair using a paratenon-preserving technique: A case report
Baegyun Kim1, Seungyup Shin1, Junghyun Moon1
1Department of Orthopaedic and Trauma Surgery, Cheju Halla General Hospital, Jeju, Republic of Korea.
Background:
Traditional Achilles tendon repair often requires incision of the paratenon, which may compromise tendon nutrition and healing. This report describes a novel paratenon-preserving repair technique that aims to maintain the biological environment and support functional recovery.
Case Presentation:
A 41-year-old male sustained a complete Achilles tendon rupture while playing soccer. Surgery was performed within 24 h of injury. Intraoperatively, the paratenon was found to be completely intact. A locked cruciate suture technique was employed through the paratenon to repair the tendon without opening of the paratenon. The patient demonstrated uneventful recovery and returned to full activity by 6 months. Follow-up MRI at 3 months following surgery confirmed successful tendon healing within the preserved paratenon.
Conclusion:
Preserving the paratenon during Achilles tendon repair may promote biological healing and improve functional outcomes. This technique is especially useful in acute ruptures with an intact tendon paratenon.
