Achillon® Achilles Tendon Suture System

Abstract

Acute, closed rupture of the Achilles tendon can be associated with a classic history of sudden onset of pain with a sense of direct trauma to the Achilles area. Almost always no direct trauma is encountered. It may or may not be associated with sporting participation. Early diagnosis is important to ensure the ruptured tendon ends are brought together effectively and protected in an equinus position. Diagnosis can be made by listening to the history and most easily by assessing the patient in the prone position. The injured side has a relatively dorsiflexed ankle position. A gap can frequently be palpated and occassionally seen in the tendon and this may disappear on ankle plantar flexion. Calf squeeze testing may elicit no movement response in ankle plantar flexion. The decision to operate or not has many factors to consider and needs to be carefully discussed with the patient. Dynamic ultrasound is a useful but not essential imaging modality to aid in surgical planning and the consent process.