Repair of Achilles Sleeve Avulsion: a New Transosseous Suture Technique

Repair of Achilles Sleeve Avulsion: a New Transosseous Suture Technique

This retrospective study identified 12 patients with Achilles sleeve avulsion from November 2013 to March 2016, aiming to explore a new transosseous suture technique for the repair of Achilles sleeve avulsion and observe the short-term curative effect.

Purpose: To explore a new transosseous suture technique for the repair of Achilles sleeve avulsion and observe the short-term curative effect.

Methods:In total, 11 patients diagnosed with Achilles sleeve avulsion underwent this new surgical technique and were followed for a mean time of 40 months. Clinical outcomes were measured using the visual analog scale (VAS), American Orthopaedic Foot & Ankle Society (AOFAS) score, Victorian Institute of Sports Assessment-Achilles (VISA-A) score, Tegner score, and time taken to return to activities. Preoperative and postoperative MRI, the ability to perform heel rise, and complications were also evaluated.

Inclusion Criteria:

• clinical presentations and physical examination, routine ankle X ray and MRI

Exclusion Criteria:

• calcaneal tuberosity avulsion fractures
• Achilles tendon rerupture
• previous surgical procedure on the affected Achilles tendon