Krakow Suture Analysis

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Open repair involves various suture techniques. The “open end-end repair involves a longitudinal incision of 6-8cm” (Bistolfi et al., 2017). The Brunnel, Kessler, and Krakow techniques can be used; the best surgery option is the Krakow technique – it has lower probability to failure. The Krakow suture was modified by Mandelbaum to involve a posteromedial incision. It is more effective, if the patient is operated on within the first stages of the injury. Another approach involves the exposure of the affected Achilles tendon and the heel bone’s tuberosity through a “posterolateral longitudinal incision”. A loop is then formed through stitches that pass through the heel bone and the defected Achilles tendon. This approach is recommended for chronic

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