{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:05:13Z","timestamp":1777615513276,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T00:00:00Z","timestamp":1663027200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:p>Minimally invasive approaches for the Achilles tendon have emerged as viable alternatives for acute Achilles ruptures, with several potential benefits in comparison to the open approach. Occasionally, proper purchase in the proximal tendon stump is not achieved due to severe degenerative disease of the tendon. In this article, we present a technique in which a small accessory incision is used during percutaneous Achilles repair in order to pass the sutures in a more proximal and healthy area of the tendon. This technique is useful for situations in which adequate tendon grasp is not obtained, avoiding the need of conversion to an open approach.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Level of Evidence:<\/jats:bold>\n                    Level V: Expert opinion\n                  <\/jats:p>","DOI":"10.1177\/19386400221119999","type":"journal-article","created":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T07:47:31Z","timestamp":1663055251000},"page":"402-405","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Inadequate Purchase in the Proximal Tendon Stump Using the Percutaneous Achilles Repair System: A Technical Tip"],"prefix":"10.1177","volume":"16","author":[{"given":"Marcelo P.","family":"Prado","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto A. M.","family":"Mendes","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Hospital S\u00edrio Liban\u00eas, Advanced Medical Center, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0227-2440","authenticated-orcid":false,"given":"Danilo R. C.","family":"Nishikawa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Foot and Ankle Surgery, Hospital Alem\u00e3o Oswaldo Cruz, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1211-9258","authenticated-orcid":false,"given":"Guilherme H.","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Hospital S\u00edrio Liban\u00eas, Advanced Medical Center, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,9,13]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"crossref","unstructured":"Kannus P J\u00f3zsa L. Histopathological changes preceding spontaneous rupture of a tendon. A controlled study of 891 patients. 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