{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:40:29Z","timestamp":1792428029382,"version":"4.5.0"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The \u2018walking Achilles tendon\u2019 technique can be safely adopted when the initial percutaneous repair fails to achieve sufficient grip in the proximal stump of the ruptured tendon. In such instances, two additional stab wounds are produced proximal to the initial most proximal ones to increase the tendon area available for suture grip.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sources of data<\/jats:title>\n                    <jats:p>A total of 36 patients had who sustained Achilles tendon rupture were included in the present study, divided in two groups: \u2018the walking on the Achilles tendon group\u2019 and \u2018traditional repair\u2019 group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Areas of agreement<\/jats:title>\n                    <jats:p>There was no difference in the mean Achilles Tendon Resting Angle (ATRA), Achilles Tendon Total Rupture Score (ATRS), calf circumference, isometric strength, time to return to sport, European Foot and Ankle Society Score (EFAS Score), and Patient-Reported Outcome Measures (PROMs) Piedade, between the patient group who underwent \u2018the walking on tendon technique\u2019 and the traditional suture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Areas of controversy<\/jats:title>\n                    <jats:p>Percutaneous management Achilles tendon rupture remains challenging with mixed results reported in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Growing points<\/jats:title>\n                    <jats:p>The results of the present investigation show that these additional steps, resulting in a total of nine stab wounds, add some time to the actual procedure, but produce comparable results to the seven stab wounds technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Areas timely for developing research<\/jats:title>\n                    <jats:p>The \u2018walking on the Achilles tendon\u2019 technique allows to easily and effectively overcome the poor hold in the proximal stump of the torn Achilles tendon which surgeon may occasionally encounter and continue to perform minimally invasive percutaneous Achilles tendon repair without the need to shift to open procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/bmb\/ldag009","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T12:44:57Z","timestamp":1769690697000},"source":"Crossref","is-referenced-by-count":4,"title":["Walking on the Achilles tendons"],"prefix":"10.1093","volume":"157","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5327-3702","authenticated-orcid":false,"given":"Nicola","family":"Maffulli","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, Faculty of Medicine and Psychology, University La Sapienza , Piazzale Aldo Moro, Rome 00185 ,","place":["Italy"]},{"name":"Centre for Sports and Exercise Medicine, 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London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7473-0271","authenticated-orcid":false,"given":"Francesco","family":"Oliva","sequence":"additional","affiliation":[{"name":"Department of Sports Traumatology, Universita' Telematica San Raffaele , Via di Val Cannuta, 247, Roma, 00166 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,2,16]]},"reference":[{"key":"2026021612111467600_ref1","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1177\/1071100715619606","article-title":"Acute Achilles tendon ruptures","volume":"37","author":"Gross","year":"2016","journal-title":"Foot Ankle Int"},{"key":"2026021612111467600_ref2","doi-asserted-by":"publisher","first-page":"694","DOI":"10.1177\/1071100717754042","article-title":"Risk factors for failed nonoperative treatment and rerupture in acute Achilles tendon 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