# Ultrasound-Guided Percutaneous Achilles Tendon Repair for Acute Achilles Tendon Rupture: Modified Percutaneous Achilles Repair System Procedure for Achilles Tendon Repair Without a Jig

## TL;DR

This paper introduces a new, less invasive method for repairing Achilles tendon ruptures using ultrasound guidance and a modified percutaneous system.

## Contribution

The novel technique eliminates the need for a jig in the PARS procedure and uses ultrasound to improve sural nerve visualization and safety.

## Key findings

- The modified PARS technique reduces invasiveness by removing the need for a jig.
- Ultrasound guidance enhances sural nerve visualization, reducing injury risk.
- The method offers safer and more precise Achilles tendon repair.

## Abstract

Surgical methods for treating Achilles tendon ruptures include open and minimally invasive surgery (MIS). MIS offers notable advantages, including reduced rates of infection and wound necrosis; however, it also introduces the risk of sural nerve injury. Intraoperative ultrasonography can mitigate this risk by providing real-time visualization of the sural nerve and Achilles tendon, improving clinical outcomes. This article introduces a novel ultrasound-guided suturing technique for Achilles tendon repair using a percutaneous Achilles repair system (PARS). This technique does not require the use of a jig, which is conventionally used in the standard PARS procedure to ensure accurate and controlled percutaneous suture placement in the Achilles tendon, making it less invasive than conventional methods. Additionally, it allows for more precise intraoperative visualization of the sural nerve using ultrasonography, enabling safer Achilles tendon repair.