PARS Technique: state-of-the-art, minimally invasive Achilles tear repair

In this video, Dr. Baravarian discusses Achilles tendon ruptures and the minimally invasive repair procedure available at UFAI.

 
The physicians at University Foot and Ankle Institute are nationally recognized leaders in the treatment of Achilles tendon ruptures and are often called upon to train other surgeons in the techniques utilized at UFAI.

 

Our foot and ankle specialists worked closely in the development of the PARS technique, a minimally invasive state-of-the-art technology that results in higher success rates, less scarring and a quicker, stronger recovery.

 

 

PARS , a revolutionary treatment for a ruptured Achilles tendon

The Achilles is the largest tendon in the body. It connects your two calf muscles to your heel and it is essential to your ability to walk or run. A rupture of the Achilles tendon could slow you down for months.

 

At University Foot and Ankle Institute, we utilize the percutaneous Achilles repair system (or PARS) minimally invasive technique for a faster and more aesthetically pleasing recovery than traditional methods.

 

What are the benefits of the PARS procedure?

The Achilles tendon doesn’t rupture cleanly; its fibers shred like frayed rope. In traditional tendon repair surgeries, an “open repair” technique is used. The surgeon makes a 10-15cm vertical incision on the back of the ankle and pries open the skin to gain complete access to the Achilles. Then the frayed ends of tendon are sewed back together, which can be difficult due to the level of damage and fraying of the tendon ends. Due to the incision and repair methods, the patient needs to be kept in a cast for a long period of time, 6-8 weeks, resulting in tendon weakness, scar tissue formation and an unsightly skin scar.

 

The benefits of the minimally-invasive PARS technique allows for a very small incision, much less scarring, and a cleaner, speedier recovery. We make a 1 cm horizontal incision across the Achilles region, then slide in PARS repair guide into the healthy portion of Achilles away form the tear spot. The PARS device allows placement of four sutures into the healthy tendon ends, which are then stitched in an hourglass shape, joining the ruptured ends of the tendon together for a greater area of compression.

 

Achilles repair surgery, what to expect in recovery

Recovery from this minimally-invasive surgery is much quicker than with a traditional open repair technique, and finished product is much stronger with essentially no scarring.

 

Patients wear a cast for two weeks, and then are fitted with a boot and can bear weight on the foot at 4 weeks. The tiny incision heals within a week and there’s minimal scarring. Patients can start physical therapy earlier, putting them on track faster towards their normal activities. Additionally, the tendon heals with a thinner, more natural contour for a cosmetically appealing reconstruction.

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