Rupture of the Achilles tendon is a considerable cause of morbidity with reduced function following injury. Recent\r\nstudies have shown little difference in outcome between the techniques of open and non-operative treatment\r\nusing an early active rehabilitation programme. Meta-analyses have shown that non-operative management has\r\nincreased risk of re-rupture whereas surgical intervention has risks of complications related to the wound and\r\niatrogenic nerve injury. Minimally invasive surgery has been adopted as a way of reducing infections rates and\r\nwound breakdown however avoiding iatrogenic nerve injury must be considered. We discuss the techniques and\r\noutcomes of percutaneous and minimally invasive repairs of the Achilles tendon.
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