Journal List > J Korean Foot Ankle Soc > v.20(2) > 1043418

J Korean Foot Ankle Soc. 2016 Jun;20(2):88-91. Korean.
Published online June 09, 2016.
Copyright © 2016 The Korean Foot and Ankle Society. All rights reserved.
Minimally Invasive Repair Technique of Achilles Tendon Using Sponge Forceps: A Technical Report
Sam Guk Park,a and 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, Email:

aCurrent affiliation: Department of Orthopedic Surgery, Yeungnam University Medical Center, Daegu, Korea.

Received March 16, 2016; Revised April 19, 2016; Accepted April 20, 2016.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


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


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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Financial support:None.

Conflict of interest:None.

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