The same sequence is performed on the distal
stump. The Achillon® is introduced under the
paratenon and pushed until it touches the calcaneum.
Again 3 sutures are placed.
Correctly organize the suture pairs. They must
not cross the midline. The sutures coming out
on the lateral side have to remain lateral and
those on the medial side have to remain medial.
The sutures are tied by corresponding pairs
The tendon reduction is controlled under direct
vision. If the tendon is so frayed that it prevents
any landmark for control of length, then the tendon
tension should be compared to the opposite leg.
