Minimally Invasive Achilles Tendon Repair Using Simple, Low-Cost Tools for Neglected Achilles Tendon Ruptures: A Report of Five Cases

Abstract: Achilles tendon (AT) rupture frequently occurs among individuals engaging in physical activities, and this condition often leads to significant functional impairment. The traditional open surgical approach for AT repair is associated with complications such as wound healing problems and infection. Mini open repair and percutaneous technique have emerged as minimally invasive alternatives that offer several advantages including reduced risk of complications, shorter recovery time, and improved cosmetic outcomes. However, these techniques require several additional implants and devices that often are expensive and not available in certain areas. To overcome these conditions, we propose a minimally invasive AT repair using abbocath needle instead of more sophisticated devices. We included five patients with neglected Achilles tendon ruptures; four patients were males. The age ranged between 38 to 53 years of age. All patients underwent minimally invasive AT repair. All patients were immobilized for two weeks using Foreslab. The results showed that after two weeks, all patients started partial weight bearing and passive range of motion (ROM) exercises. Four weeks after the surgery, patients started gradual full weight bearing and active ROM exercises. After three months, patients had returned to daily activities without complications. In conclusion, minimally invasive AT repair can be performed using simple, low-cost tools, and this technique provides satisfactory results. This procedure can be a solution in situations where there are limited facilities and budgets. Keywords: Achilles tendon; rupture; repair; minimal invasive; percutaneous