Introduce the Achillon® in the closed position
(= minimal width) UNDER THE
PARATENON proximally. The tendon stump
comes in between the two internal branches.
As soon as the Achillon® is introduced,
it is progressively widened. The tendon stump
is held with a fine forceps or clamp passed under
the Achillon® (Kocher or Mosquito).
Before introducing the sutures, the appropriate
position and angulation of the Achillon® is
confirmed by external digital palpation. The tendon
should fall between the two central branches of
the instrument.
Using the needle driver, the first needle is
introduced according to arrows and numbers printed
on the instrument