Site of incision
Incision to the lateral side of the tendon can cause a laceration of the sural nerve or the small saphenous vein. Incision directly in the midline of the tendon can cause irritation because there is very little subcutaneous fat in the midline and the scar can cause irritation when wearing shoes.
Careless tissue handling
Extensive separation of the skin and subcutis from the underlying tissues can produce problems with circulation and thus wound healing. Incise all layers of the skin with one swift but careful move of the blade.
Handle the peritenon with care so that it can be sutured at the end of the procedure and thus provide circulation and nutrition to the tendon.
The course of the sural nerve at the lateral side of the tendon should be considered when suturing the tendon and closing the wound.
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4August 15, 2026 150 1
