MINIMALLY INVASIVE TECHNIQUE FOR REPAIRING ACUTE ACHILLES TENDON RUPTURES IN ATHLETES: A FOCUS ON INTERNAL SMALL-INCISION METHODS

Abstract

Background: The Achilles tendon, a critical component in ankle joint movement and plantar flexion, is increasingly prone to ruptures due to heightened sports participation and improved living standards. Despite the prevalence of surgical interventions, traditional techniques often pose risks due to the Achilles tendon's poor blood supply and thin overlying skin, which can lead to complications such as infection and skin flap necrosis. Objective: This study evaluates the clinical efficacy of a novel minimally invasive suture technique utilizing a small incision within the tendon, comparing it to the traditional weaving suture method in the treatment of acute closed Achilles tendon ruptures among athletes. Methods: Conducted from March 2018 to September 2021, this comparative study involved patients who underwent either the traditional weaving suture method or the innovative minimally invasive suture method. The latter approach aims to reduce surgical footprint and potential complications by minimizing the size of the incision and improving the reliability of the tendon repair. Results: The minimally invasive suture method demonstrated significant advantages over the traditional approach, including reduced rates of infection and skin flap necrosis, minimized surgical trauma, and improved recovery times. Patients treated with the minimally invasive method also showed a lower incidence of sural nerve injury and re-rupture, highlighting the technique's efficacy and safety. Conclusion: The minimally invasive suture method within the tendon provides an effective alternative for treating Achilles tendon ruptures in athletes, offering fewer complications and enhanced recovery. This technique aligns with current trends towards less invasive surgical options that cater to the specific needs of athletic individuals, facilitating quicker return to sport and reduced long-term morbidity. Future research should continue to refine this method and explore long-term outcomes compared to traditional techniques.