A New Modified Giftbox Achilles Tendon Repair: A Surgical Technique

Achilles tendon ruptures are one of the most common injuries in the hindfoot. To return to a prior level of activity, primary repair is recommended. However, there are several repair methods, with a key being the strength of the construct to help reduce re-rupture rates and gap formation at the repair site. Unfortunately, there is no consensus on a standard surgical technique, but a new configuration may be a viable option. We present a new modified giftbox technique. This technique adds suture struts along the medial, lateral, and anterior tendon, which may increase tensile strength across the tendon rupture site.