A Review of Advances in Achilles Tendon Repair: Balancing Biomechanics and Biology

This chapter explores the current innovations and challenges in tendon repair surgery, focusing on the delicate balance between mechanical stability and biological healing. The chapter critically discusses biomechanical principles of tendon repair, diverse suturing techniques, and the importance of timing in rehabilitation. It also addresses the role of biological augmentation techniques in enhancing tendon healing. Surgical tips and outcome-based comparisons have been included to provide surgeons with a comprehensive, practical perspective. Special attention is given to common clinical dilemmas such as managing and repairing degenerative tendons, delayed presentation, and management in elderly or active patients.