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Fig. 4 | Journal of Orthopaedic Surgery and Research

Fig. 4

From: Intraoperative ultrasonography assistance for minimally invasive repair of the acute Achilles tendon rupture

Fig. 4

The procedure of minimally invasive repair. a The location of the torn tendon and the course of the SSV were identified and marked after anesthesia. b A small incision was made at the level of the palpable gap and the proximal and distal Achilles tendon ends were grasped with artery forceps and brought out from the incision. c The trocar of epidural anesthesia needle was used as the guide needle. d Symmetrical mini-incisions, medial and laterally were performed along the course of the proximal stump tendon at a distance of approximately 2 cm. The first No.2 ETHIBOND suture was inserted from the proximally lateral incision (this incision was made medially to the SSV) to the opposite one, each of the ends was passed to the diagonal opposing side guided by the trocar of epidural anesthesia needle. e The two ends of the first suture were pulled out of the incision on the medial side of the torn tendon. f The second No.2 ETHIBOND suture was inserted into the distal stump tendon with the same procedure. g The ends of the two sutures were knotted on bilateral sides of the torn tendon. h The ruptured tendon was repaired with minimally invasive suture

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