Endoscopy-assisted percutaneous repair of Achilles tendon rupture

While the Achilles tendon (AT) is the strongest and thickest tendon in the human body, it is also the most common tendon to rupture. It begins near the middle of the calf and is the conjoint tendon of the gastrocnemius and soleus muscles. Though numerous non-operative and operative methods have been described, there is no universal agreement about optimal management strategy of acute, total AT rupture. Since endoscopy-assisted percutaneous AT repair allows direct visualization of the synovia and protects the paratenon, which is important in the biological healing of the AT, this technique is a reasonable treatment option in AT rupture. Aim of this review was to discuss details of endoscopy-assisted percutaneous repair of Achilles tendon rupture and present experience.