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Minimally Invasive Achilles Tendon Repair

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Evolution of Minimally Invasive Achilles Tendon Repair

Advancements in tethering material has led to the development of FiberWire, which is the suturing material utilized in most modern day achilles repair system. FiberWire is constructed of a multi-strand, long chain ultra-high molecular weight polyethylene core with a braided jacket of polyester.

Although open techniques have historically been utilized for the repair, this approach is often complicated by wound-healing issues and infection, as the skin in the area of the achilles tendon is under high tension. This led to the development of achilles repair systems that are able to achieve equivalent load-failure strength through a percutaneous and minimally invasive surgical incisions.

This has shown to significantly mitigate the risk of wound healing complications including delayed healing, adhesions, and unsightly scaring. However, there does exist a slightly higher risk of damaging the nerve that provides sensation to lateral aspect of the foot and ankle with this technique.

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