• Aleksas Makulavičius, Giedrius Mazarevičius, Mindaugas Klinga, Matas Urmanavičius, Povilas Masionis, Xavier Martin Oliva, Valentinas Uvarovas, and Narūnas Porvaneckas.
• Vilnius University, Faculty of Medicine, Clinic of Rheumatology, Traumatology Orthopaedic and Reconstructive Surgery, Centre of Orthopedics and Traumatology, Republican Vilnius University Hospital, Šiltnamių g. 29, LT-04130 Vilnius, Lithuania. Electronic address: makulaviciusa@gmail.com.
• Foot Ankle Surg. 2020 Jul 1; 26 (5): 580-584.

BackgroundThe optimal treatment of acute Achilles tendon ruptures (AATR) is still under debate. The purpose of this study was to evaluate outcomes of open repair comparing with percutaneous procedure for AATR.Methods100 patients with AATR were randomized in two groups: open "crown" type (group A) and percutaneous Bunnell type repair (group B). 87 patients were available for the mean follow up of 27months RESULTS: No statistically significant difference was observed between groups in ATRS score, leg circumference, single heel rise, Achilles resting angle, time back to work and sports and overall patient satisfaction. Percutaneous technique was much faster. Overall 13 complications occurred in both groups (5 and 8 respectively). No deep infection occurred, no revisions were needed.ConclusionsBoth techniques showed to be effective and safe when using absorbable suture material with a high patient satisfaction and a low complication rate, but percutaneous repair was significantly faster.Copyright © 2019 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

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