Achilles Tendon Repair Using the InternalBrace Principle
Authors: Graeme P. Hopper, Gordon M. Mackay
Journal: Surgical Technology International
Publication year: 2017
DOI: None assigned
IBISG Summary
This paper describes a knotless surgical technique for repairing an acute Achilles tendon rupture using the InternalBrace principle. High-strength sutures or tape and knotless bone anchors are used to reinforce the tendon repair, providing additional structural support while the biological tendon tissue heals. The technique is intended to protect the repair and facilitate earlier mobilisation.
Key Findings
The InternalBrace construct provides a knotless means of reinforcing an Achilles tendon repair and reducing reliance on the healing tendon alone during the early postoperative period. Direct fixation to bone is intended to protect the repair, reduce the risk of knot-related problems and support a more progressive rehabilitation programme. This paper describes the surgical principle and technique rather than reporting comparative patient outcomes.
Why This Research Matters
Achilles tendon repair must balance sufficient mechanical protection with the benefits of early movement and rehabilitation. Reinforcing the repair with an internal brace may protect tendon length and healing while permitting earlier controlled mobilisation, potentially reducing stiffness, muscle wasting and delayed functional recovery. Clinical comparative studies are required to establish whether these proposed advantages lead to lower complication rates or better long-term outcomes.