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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao British Medical Bull...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
British Medical Bulletin
Article . 2026 . Peer-reviewed
License: OUP Standard Publication Reuse
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Walking on the Achilles tendons

Authors: Nicola Maffulli; Filippo Spiezia; Filippo Migliorini; Gayle Maffulli; Francesco Oliva;

Walking on the Achilles tendons

Abstract

Abstract Background The ‘walking Achilles tendon’ technique can be safely adopted when the initial percutaneous repair fails to achieve sufficient grip in the proximal stump of the ruptured tendon. In such instances, two additional stab wounds are produced proximal to the initial most proximal ones to increase the tendon area available for suture grip. Sources of data A total of 36 patients had who sustained Achilles tendon rupture were included in the present study, divided in two groups: ‘the walking on the Achilles tendon group’ and ‘traditional repair’ group. Areas of agreement There was no difference in the mean Achilles Tendon Resting Angle (ATRA), Achilles Tendon Total Rupture Score (ATRS), calf circumference, isometric strength, time to return to sport, European Foot and Ankle Society Score (EFAS Score), and Patient-Reported Outcome Measures (PROMs) Piedade, between the patient group who underwent ‘the walking on tendon technique’ and the traditional suture. Areas of controversy Percutaneous management Achilles tendon rupture remains challenging with mixed results reported in the literature. Growing points The results of the present investigation show that these additional steps, resulting in a total of nine stab wounds, add some time to the actual procedure, but produce comparable results to the seven stab wounds technique. Areas timely for developing research The ‘walking on the Achilles tendon’ technique allows to easily and effectively overcome the poor hold in the proximal stump of the torn Achilles tendon which surgeon may occasionally encounter and continue to perform minimally invasive percutaneous Achilles tendon repair without the need to shift to open procedures.

Keywords

Male, Rupture, Adult, Suture Techniques, Walking, Middle Aged, Achilles Tendon, Young Adult, Treatment Outcome, Tendon Injuries, Humans, Female, Patient Reported Outcome Measures

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Top 10%
Average
Average
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