Fig. 1

Steps of the surgical Technique A: a calcaneal tunnel is made; a non-absorbable suture was passed from lateral to medial. B: The suture was passed from medial to lateral, though the substance of the distal stump and exiting at the gap, then directed back medially, and then passed in a zigzag manner from lateral to medial, usually three suture turns. C: Then the suture was directed back in a zigzag (blue dotted line) so that the final exit would be through the lateral wound made at the level of the gap. D: The distal lateral loose end was then passed under the skin to the level of the Achilles insertion, then passed from lateral to medial through the substance of the distal stump, then back laterally to exit through the lateral wound where the final knot is made. E: A sharp curette was then passed through the wound for refreshment of the tendon edges, maximum planter flexion, and the suture is tightened until no gap is palpable