Minimally Invasive Repair Technique of Achilles Tendon Using Sponge Forceps: A Technical Report

Sam Guk Park; Chul Hyun Park

doi:10.14193/jkfas.2016.20.2.88

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Park and Park: Minimally Invasive Repair Technique of Achilles Tendon Using Sponge Forceps: A Technical Report

Technical Report

J Korean Ophthalmol Soc 2016;20(2):88-91.

Published online: 19 June 2016

DOI: https://doi.org/10.14193/jkfas.2016.20.2.88

Minimally Invasive Repair Technique of Achilles Tendon Using Sponge Forceps: A Technical Report

Sam Guk Park^a, Chul Hyun Park^*

Department of Orthopedic Surgery, Gyeongsan Joongang Hospital, Gyeongsan, Korea

^*Department of Orthopedic Surgery, Yeungnam University Medical Center, Daegu, Korea

Corresponding Author: Chul Hyun Park Department of Orthopedic Surgery, Yeungnam University Medical Center, 170 Hyeonchung-ro, Nam-gu, Daegu 42415, Korea Tel: 82-53-620-3640, Fax: 82-53-628-4020, E-mail: chpark77@naver.com

^a Current affiliation: Department of Orthopedic Surgery, Yeungnam University Medical Center, Daegu, Korea

Received 16 March 201619 April 2016 Accepted 20 April 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Various minimally invasive repair techniques have been performed for acute Achilles tendon rupture. Despite this, it is difficult to use these techniques in common practice because of the necessity of special instruments. We propose a novel minimal invasive technique using sponge holding forceps, which are commonly used in the operating room for the acute Achilles tendon rupture.

Keywords: Achilles tendon, Acute rupture, Minimally invasive technique

REFERENCES

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Figure 1.

(A, B) Sponge holding forceps are inserted between the tendon and the paratenon to the proximal stump of the tendon and a long straight needle threaded with a No. 2 Ethibond (Ethicon, Somerville, NJ, USA) is passed through the hole of the sponge holding forceps. (C, D) Both ends of a No. 2 Ethibond are drawn down into the wound by pulling on the sponge holding forceps. (E∼G) No. 2-0 Ethibond is passed at slightly distal level using same procedure. (H, I) Both ends of No. 2 Ethibond are passed to the opposite sites using the shuttle relay technique. (J∼L) This procedure is repeated at two different levels on both the proximal and distal stumps on the tendon. (M, N) Both ends of the sutures are tied with the ankle held in 20^° plantar flexion.

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