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when using the pars achilles jig for the mid-substance speed bridge the incision is made in a transverse manner just proximal to the palpable rupture the tendon is grasped with a hemostat and the jig is inserted with the inner arms inside the peritenone of the achilles tendon the sutures are then passed through the jig and the tendon in a stepwise manner using the numbered holes on the side of the pars jig the jig is then removed pulling the suture out of the incision two stab incisions are made directly down to bone over the insertion of the achilles tendon the two stab incisions are drilled and tapped in preparation for later swivel lock insertion a lasso is passed through the distal stump of the achilles out of the rupture site the sutures from the proximal stump are then passed through the distal stump and out the stab incision distally the sutures are placed in the 4.75 millimeter swivel lock the foot is plantar flexed to approximate the tendon ends and the anchor is placed in the
