New Option for Achilles Tendon Ruptures, Combining the Best of All: The PARS-Dresden

Abstract

Surgical treatment remains the standard of care for active patients with acute midsubstance Achilles tendon ruptures. Minimal invasive surgery, rupture’s site hematoma preservation, strong fixation, avoidance of sural nerve entrapment, and early rehabilitation are essential concepts desirable for any Achilles tendon repair. Hereby, we present a technique modification that incorporates all these advantages in one single procedure.

Muscle coactivation during gait after percutaneous repair of Achilles tendon: a case report

“…The treatment of choice is surgical reconstruction with minimally invasive techniques (MIS), which guarantee an early sport return with minimal re-rupture rates and associated complications. Pellegrini et al have described the PARS-Dresden technique, which allows an accelerated rehabilitation due to the reattaching of the proximal tendon stump directly to the healthy bone of posterior tuberosity of the calcaneum and avoiding the degenerative distal portion of the Achilles tendon 7 . However, to the authors' knowledge, there is no evidence in the literature describing the muscle coactivation levels during the rehabilitation of patients with Achilles tendon reconstruction surgery.…”