The Achilles tendon is the largest and strongest tendon in the body. When the calf muscles flex, the Achilles tendon pulls on the heel. Percutaneous method gives the chance to do sufficient repair of tendon Achilles with minimal slit incisions .Achilles tendon rupture surgery is now routine and well established. Surgery is suggested for young, healthy and active individuals. Percutaneous repair of the Achilles tendon allows accurate opposition of the tendon ends minimizing surgical incision thus protecting against wound breakdown. It is a prospective study of 20 adolescent patients with cut tendon Achilles treated Percutaneous repair using Esipond 5 and Mayo needle, admitted in Orthopedics and traumatology department Sohag university hospital, between 12 / 2017 and 12 / 2018.The patients were followed up for 12 months according to the Achilles tendon rupture score (ATRS) from all patients and by checking wound complications. Limitation due to decrease in the strength of calf/Achilles tendon/foot, the mean score was 8.1. Limitation due to progressive tiredness in the calf/Achilles tendon/foot, the mean score was 8.1. Limitation due to stiffness in the calf/Achilles tendon/foot, the mean score was 8. Limitation due to pain in the calf/Achilles tendon/foot, the mean score was 8. Limitation during activities of daily living, the mean score was 7.7 Limitation when walking on uneven ground The mean score was 7.9 Limitation when walking quickly up stairs or uphill The mean score was 7.95. Limitation during activities that including running, the mean score was 7.9. Limitation during activities that including jumping, the mean score was 7.9. Limitation in performing heavy physical work, the mean score was 8.1
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