Name: Arthrex Foot and Ankle Innovation for Sports Surgeons: Achilles Rupture
Uploaded: 2014-08-14T00:00:00Z
Channel: Arthrex
Description: J. Kent Ellington, MD, MS, (Charlotte, NC) describes the surgical treatment for acute Achilles Tendon injuries, using the Knotless Midsubstance Achilles SpeedBridge®. He discusses the indications, surgical technique and presents a surgical video.

<p>J. Kent Ellington, MD, MS, (Charlotte, NC) describes the surgical treatment for acute Achilles Tendon injuries, using the Knotless Midsubstance Achilles SpeedBridge®. He discusses the indications, surgical technique and presents a surgical video.</p>

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VPT1-00256-EN | A | Arthrex Foot and Ankle Innovation for Sports Surgeons: Achilles Rupture

Kent Ellington

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Arthrex Foot and Ankle Innovation for Sports Surgeons: Achilles Rupture

So Achilles tendon ruptures. Okay. Common problem, pro sports guys. You're going to be doing this for your whole life. And you know it occurs in the watershed area. It's and usually the 30, 40, 50 year old guys, girls that are the weekend warriors. You know, I would say in the US it's basketball. In Europe it's soccer and but a very common injury. So there's not a treatment. Of course, I just want to mention that because there is a there's a place for that. But you know, here we're here to talk about surgery. So you know, the issue with conservative versus surgical management is that there's no difference in functional outcome. But the biggest difference is rerupture rate. So I tell patients, you know, it's 1 to 2% rerupture if I fix it 10 to 20% Rerupture if I don't fix it, they say, okay, when can you fix it? And then we move on from there. So, you know, the old way of doing this is which is how I did it the first few years in practice was, you know, let me put as much suture in this tendon as I can to repair this thing and make it look like a spider web and strangle the heck out of it. And then they get they get this fat tendon that, you know, is scarred down and, you know, higher complication rate with wounds and infection because of the the thin soft tissue envelope back there. So the Arthrex has this really cool system actually helped develop by one of my partners. And it's called pars percutaneous Achilles repair system. And it's this little jig that allows you to make a very small incision to repair the Achilles. So the biggest problem with Achilles repair is the complication from wounds. And this system takes that off the table. So here is a new technique that Arthrex has developed, which is really ingenious. And it's basically taking the proximal half of the pars and repairing that as you normally would, and, and securing it distally into the calcaneus with the InternalBrace with Velox. So it's a knotless repair of the Achilles tendon rupture. So you pass your your your needles and your FiberWire through the proximal rupture and the normal way. And this is how you do it. If you've never done the pars, if you if you do the pars, it's the same thing on the distal limb as well. So you do the proximal aspect first pull the jig through. You deliver the tendons there through the wound. It makes small little percutaneous stab wounds over the distal insertion on the calcaneus. Drill and tap for your internal brace. And then you're going to take a little suture passer through the distal tendon stump. Grab that proximal Achilles that's been repaired with the pars and the proximal FiberWire. Sutures are locked as well. You bring this through. This is cool. I wish I thought about this. This is amazing. And and then you you can see here that plantar flex the foot, you reimpose the tendon. Looks beautiful. And then you secure it distally, doing your same tension technique there, looking at that laser line. And so now you don't have to rely on your suture not to, you know, resist your failure and your rehab. So you get like the internal brace for the ArthroBrostrom. Now you have immediate repair, immediate fixation. You close your pair of tenon. Watch out for the nerve, and you're good to go. So. All right, I know there's a lot to go over. And I thank you for your time and good luck with your future career. And, and, you know, being an attending and taking care of patients is very stressful. Just go slow, be very thoughtful, and you'll do great. Thanks.

Arthrex Foot and Ankle Innovation for Sports Surgeons: Achilles Rupture

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