# Salvage Mini-Open Achilles Tendon Repair Using the Percutaneous Achilles Repair System (PARS): A Technical Tip

## TL;DR

This paper describes a salvage technique for repairing Achilles tendon ruptures when minimally invasive methods fail.

## Contribution

A novel salvage mini-open technique is introduced to avoid full open surgery in complex Achilles tendon cases.

## Key findings

- Percutaneous methods sometimes fail to capture the proximal tendon stump effectively.
- The proposed salvage technique uses mini-open incisions to repair complex tears without full open surgery.

## Abstract

Minimally invasive surgical repair options for mid-substance Achilles tendon ruptures may pose some limitations in regard to complex tear patterns or poor overall tendon quality. We have encountered cases where percutaneously passed sutures with the help of a targeting device fail to adequately capture the proximal tendon stump.

In this technical report, we report a salvage technique for such cases that prevents the need for conversion to an extensile open approach, relying on smaller mini-open incisions.