Clinical Orthopaedics and Related Research®

, Volume 468, Issue 4, pp 1039–1046 | Cite as

Favorable Outcome of Percutaneous Repair of Achilles Tendon Ruptures in the Elderly

  • Nicola MaffulliEmail author
  • Umile Giuseppe Longo
  • Mario Ronga
  • Anil Khanna
  • Vincenzo Denaro
Symposium: Recent Advances in Foot and Ankle Surgery


Percutaneous repair of Achilles tendon (AT) ruptures reportedly reduces the risk of rerupture compared to nonoperative treatment and reduces the risk of wound infection compared to open surgery. We retrospectively reviewed the postoperative Achilles tendon total rupture score (ATRS), and the maximum calf circumference in 35 patients over 65 years of age who sustained an acute tear of the AT and underwent percutaneous repair of the AT. There were 26 men and nine women with a mean age at operation of 73.4 ± 8.7 years (range, 65–86 years). Of the 35 recruited patients, we report on 27 patients for whom we have a full data set. The minimum followup was 49 months (mean, 88 months; range, 49–110 months). The ATRS had a postoperative average rating of 69.4 ± 14 (range, 56–93). All patients were able to bear weight fully on the affected limb by the eighth postoperative week. The data suggest that percutaneous repair of the AT is a suitable option for patients older than 65, producing similar outcomes when compared to percutaneous repair in younger patients of previous reports.

Level of Evidence: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.


Achilles Tendon Sural Nerve Levobupivacaine Isometric Strength Achilles Tendon Total Rupture Score 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



We thank Mrs. Gayle D. Walley for her help in performing the present study. We acknowledge the help of the British Orthopaedic Foot and Ankle Society in carrying out this work.


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Copyright information

© The Association of Bone and Joint Surgeons® 2009

Authors and Affiliations

  • Nicola Maffulli
    • 1
    • 4
    Email author
  • Umile Giuseppe Longo
    • 2
  • Mario Ronga
    • 3
  • Anil Khanna
    • 1
  • Vincenzo Denaro
    • 2
  1. 1.Department of Trauma and Orthopaedic SurgeryUniversity Hospital of North Staffordshire, Keele University School of MedicineStoke on TrentUK
  2. 2.Department of Orthopaedic and Trauma SurgeryCampus Biomedico UniversityRomeItaly
  3. 3.Department of Orthopaedics and TraumatologyUniversity of Insubria Ospedale di CircoloVareseItaly
  4. 4.Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and DentistryMile End HospitalLondonEngland

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