Percutaneous Achilles Tendon Suture

Percutaneous suture is indicated in various situations, including:

• Achilles Tendon Ruptures: Partial or complete tendon ruptures, often resulting from sports activities or sudden movements.
• Injuries in Athletes: Injuries that occur in athletes or active individuals requiring rapid and effective treatment to return to activity.

Symptoms that may lead to the decision to perform percutaneous suture include:

• Intense Pain: Sudden and intense pain in the posterior part of the leg or heel.
• "Pop" Sensation: Sensation of a pop or snap at the moment of injury.
• Walking Difficulty: Inability to stand or walk due to pain and weakness in the tendon.
• Swelling and Bruising: Swelling in the heel region and posterior part of the leg.

The procedure generally involves the following steps:

1. Anesthesia: Patient receives local or general anesthesia, depending on injury extent and patient health.
2. Minimal Incision: Small incisions made at the level of the Achilles tendon, usually in strategic locations to minimize scarring.
3. Tendon Repair: The surgeon uses specific techniques to suture the Achilles tendon ends using strong suture threads. This may involve the use of anchors or fixation devices that facilitate the suturing process.

Recovery after percutaneous suture may include:

• Rest and Immobilization: The foot may be immobilized with an orthopedic boot or cast to protect the tendon during healing.
• Pain Control: Patient may be instructed to use painkillers to control post-operative pain.
• Physical Therapy: Physical therapist may introduce rehabilitation exercises as soon as healing permits, aiming to restore tendon strength and flexibility.
• Medical Follow-up: Regular consultations to monitor recovery and evaluate tendon function.