Bilateral traumatic rupture of Achilles tendons in absence of risk factors treated with percutaneous technique and platelet-rich plasma: a case report

Foot Ankle Surg. 2014 Sep;20(3):e43-6. doi: 10.1016/j.fas.2014.05.005. Epub 2014 May 16.


We present a clinical case of a 52-year-old man with bilateral traumatic rupture of the Achilles tendon (AT) in absence of risk factors. In medical history, the patient does not report pre-existing tendon diseases. AT ruptures occurred following a skiing injury in which the forward fall caused a severe stress and elongation of the AT. Associated with tendon injury there was a fracture of the right humeral greater tuberosity. The patient was subjected to percutaneous tenorraphy according to Maffulli's technique and subsequently topical injection of autologous platelet-rich plasma (PRP) 7 days after the injury. After surgery, the patient followed an accelerated rehabilitation protocol, allowing the weight bearing with guards (Rom-Walker) and crutches to four weeks then freely to 8 weeks. We performed a clinical (AOFAS ankle-hindfoot score) and ultrasonography follow-up at month 1, 3, 6 and 12, with excellent results in the end. To the best of our knowledge bilateral cases like this have not been described in the literature.

Keywords: Absence of risk factors; Achilles tendon; Bilateral traumatic rupture; Growth factors; PRP; Percutaneous tenorraphy.

Publication types

  • Case Reports

MeSH terms

  • Achilles Tendon / injuries*
  • Humans
  • Male
  • Middle Aged
  • Platelet-Rich Plasma*
  • Risk Factors
  • Rupture
  • Skiing / injuries*
  • Suture Techniques*
  • Tendon Injuries / diagnosis
  • Tendon Injuries / etiology
  • Tendon Injuries / therapy*