OBJECTIVE: To study the clinical effect of using multi-point bundling of Achilles tendon suture method for the treatment of freshly ruptured Achilles tendon. METHODS: From July 2006 to January 2009, 15 patients with acute Achilles tendon rupture were repaired by applying the multi-point bundling method, and clinical summaries were made in terms of surgical methods, patient self-evaluation, rehabilitation training and recovery results. There were 13 male cases and 2 female cases. The ages ranged from 23 to 50 years old, with an average of 39 years old. The patients all had closed sports injuries. The patients were immobilized in a plaster brace for 6 weeks after surgery, and functional rehabilitation and gradual weight-bearing walking were started. RESULTS: The incisions all healed in one stage. The ankle resumed normal active flexion and extension movements 6 to 12 weeks after surgery, and moderate intensity exercises were started 12 weeks after surgery. The patients had no significant discomfort, felt good about themselves, and were satisfied with the treatment results. DISCUSSION: The treatment of acute Achilles tendon rupture mainly consists of conservative treatment and surgical treatment. Conservative treatment is mainly through fixation in the flexion position of the ankle joint, so that the Achilles tendon is connected between the severed ends through scar tissue, and eventually the scar collagen fiber type is changed through long-term stress effect to restore the normal function of the Achilles tendon. Its biggest disadvantage is the inevitable shortening of the calf triceps muscle and the decrease of the ankle flexor muscle strength with a long course of disease. While the traditional surgical method can achieve direct docking of the tendon severed ends, it still has the disadvantages of long external fixation time, long disease duration, especially the long functional rehabilitation time required to restore the normal range of motion of the ankle joint, and greater patient pain, etc. The surgery may also result in adhesions between the Achilles tendon and the skin. The multi-point ligature method can completely avoid these problems. Since there is no need to shorten the Achilles tendon, the postoperative ankle joint is fixed in mild flexion, and its normal extension and flexion functions can be easily restored after surgery without special functional rehabilitation training; since the circumference of the Achilles tendon is not increased after suturing, its peritendinous tissues can be completely wrapped and sutured, thus avoiding adhesions between the Achilles tendon and the skin; since the original tendon fibers are preserved, the strain of the postoperative scar can be reconstructed more quickly. Therefore, the multi-point bundling method is ideal for the treatment of acute Achilles tendon rupture.