{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T10:54:47Z","timestamp":1773312887472,"version":"3.50.1"},"reference-count":27,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2008,8,1]],"date-time":"2008-08-01T00:00:00Z","timestamp":1217548800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2008,8]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Open repair of the Achilles tendon is associated with wound breakdown, infection and percutaneous methods risk sural nerve injury. The Achillon\u00ae mini-incision technique can reduce these risks and may provide the opportunity for early active rehabilitation. The aim of this study was to compare the strength of the Achillon\u00ae method with the commonly used Kessler method and to assess whether the strength of the repair was related to tendon diameter. <\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods:<\/jats:title><jats:p> Simulated ruptures in sheep Achilles tendons were repaired using either the Achillon\u00ae method or a two-strand Kessler technique with a No. 2 Ticron suture (Tyco Healthcare, UK). Each tendon diameter was measured, and matched for both groups. Specimens were loaded to failure using an Instron tensile testing machine (Instron Limited, UK). <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Mean load to failure for the Achillon\u00ae repair was 153 N \u00b1 60 (range, 65 to 270), and the mean load to failure for the Kessler Repair was 123 N \u00b1 24 (range, 75 to 150). This difference was not statistically significant ( p = 0.21). There was a statistically significant higher mean load to failure for wider tendons repaired by the Achillon\u00ae method ( p = 0.05), however mean load to failure was not related to tendon width in Kessler repairs ( p = 0.23). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> This is the first study to compare these two methods of repair. The Achillon\u00ae repair has comparable tensile strength to the Kessler Repair. <\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Relevance:<\/jats:title><jats:p> The Achillon\u00ae repair appears to be a biomechanically sound method of repair for the acutely ruptured Achilles tendon. <\/jats:p><\/jats:sec>","DOI":"10.3113\/fai.2008.0808","type":"journal-article","created":{"date-parts":[[2008,8,17]],"date-time":"2008-08-17T17:57:43Z","timestamp":1218995863000},"page":"808-813","source":"Crossref","is-referenced-by-count":52,"title":["The Achillon\u00ae Achilles Tendon Repair: Is it Strong Enough?"],"prefix":"10.1177","volume":"29","author":[{"given":"Mohammed","family":"Ismail","sequence":"first","affiliation":[{"name":"Hampshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amer","family":"Karim","sequence":"additional","affiliation":[{"name":"Hampshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Shulman","sequence":"additional","affiliation":[{"name":"Hampshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Amis","sequence":"additional","affiliation":[{"name":"Hampshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Calder","sequence":"additional","affiliation":[{"name":"Hampshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,8,1]]},"reference":[{"key":"bibr1-FAI.2008.0808","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200202000-00001"},{"key":"bibr2-FAI.2008.0808","doi-asserted-by":"publisher","DOI":"10.1177\/107110070602700706"},{"key":"bibr3-FAI.2008.0808","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2004.017509"},{"key":"bibr4-FAI.2008.0808","doi-asserted-by":"publisher","DOI":"10.1177\/107110070602700204"},{"key":"bibr5-FAI.2008.0808","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-200001000-00004"},{"issue":"280","key":"bibr6-FAI.2008.0808","first-page":"241","author":"Gerdes MH","year":"1992","journal-title":"Clin Orthop Relat Res. 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