Vertical and medial to the tendon, 1.5 to 2
cm in length, proximally from the soft spot. With
scalpel blade (number 15, smallest size), delicately
dissect the thin subcutaneous tissue.
Retract the skin layer with 2 small hook retractors
(Guillis type). Carefully identify the paratenon.
Make a 2 cm vertical incision in the paratenon.
Place a stay suture in each edge of the paratenon.
The space under the paratenon has to be cleared
proximally and distally in order to visualize
its "tunnel shape". This maneuver will
facilitate the introduction of the Achillon®.
Identify both proximal and distal tendon stumps.
On the medial side, the plantaris tendon may be
visualized.
Note: In most cases the
tendon stumps have become frayed. If the spot is
particularly difficult to locate, the skin incision
can either be extended proximally or distally.
