From April 2009 to April 2012, patients diagnosed with a rupture of the Achilles tendon were offered surgical treatment. Diagnosis was made according to the presence of a palpable gap within the tendon, the loss of the normal resting tone of the ankle, and lack of tendon continuity on performing a calf squeeze test.16 (link) Seventy-six patients requested surgical intervention following counseling regarding management options. Surgical repair was performed using an established percutaneous technique.3 (link)After the index procedure, patients followed a standardized postoperative protocol. Patients were given analgesics, but the use of nonsteroidal anti-inflammatory drugs was discouraged. Full weightbearing in a functional split synthetic cast in equinus was permitted, with the use of elbow crutches, immediately following surgery. At 2 weeks, the wounds were inspected, sutures were removed, and open kinetic chain mobilization exercises consisting of inversion, eversion, and plantar flexion were commenced by the patient to encourage early movement, improve proprioception, and reduce the formation of adhesions. Dorsiflexion was forbidden. Otherwise, the dorsal shell was left in position during weightbearing secured by either elasticated Velcro straps (Velcro USA Inc, Manchester, New Hampshire) or Tubigrip (Mölnlycke Healthcare, Gothenburg, Sweden) until 6 weeks following surgery (Cretnik A. “Functional Bracing Versus Rigid Immobilization After Percutaneous Achilles Tendon Repair Under Local Anaesthesia.” Presented at the 14th ESSKA Congress, 2010). At that stage, a progressive range of movement, proprioceptive, and strengthening exercise program was commenced. Several modifications to both the surgical technique and perioperative management were made.