The Achilles tendon is a tendonous part of the triceps muscle of the calf that continues down the leg and ends at the heel bone, and is the strongest tendon in the body, about 10-20 cm long and located at the back of the calf. It is the strongest tendon in the body, about 10-20 cm long and located at the back of the lower leg. It plays a vital role in foot strokes such as walking, running and jumping, and if it is not properly repaired after rupture, it will seriously affect these movements. Achilles tendon rupture is a common sports injury that can occur in badminton, basketball, soccer and other sports. Patients can suddenly feel a sensation of being struck by a blunt object at the back of the calf, and can hear a snapping sound, followed by weakness of foot movement, mainly tiptoeing and stirring, and touching the Achilles tendon injury can touch the depression. Achilles tendon rupture is mostly seen in athletes who have not warmed up sufficiently, or urban white-collar workers who do not exercise frequently and suddenly engage in strenuous exercise, or patients with Achilles tendon pathology and chronic strain injury, and of course some acute trauma such as glass cuts and knife cuts can also lead to Achilles tendon rupture. The diagnosis of Achilles tendon rupture can be made through typical medical history, symptoms and signs, and ultrasonography or magnetic resonance examination is feasible for a few patients with unknown diagnosis. The quality of Achilles tendon healing is poor after conservative treatment, and even if it heals the power of tiptoeing and stomping will be reduced, and it is easy to rupture again, so it is not suitable for young people who have high demands on sports, so surgery becomes the first choice for this young patient. Currently, there are two types of surgery for Achilles tendon repair: open and minimally invasive. Studies have shown that the chances of re-rupture of the Achilles tendon after both surgeries are basically equal, and the chances of delayed healing and infection of the incision after open surgery are quite high, around 20%, which means that one out of every five people has a badly grown incision; while the incision of percutaneous minimally invasive surgery can heal normally because of the small trauma and avoidance of the area with poor blood flow, but the incidence of percutaneous minimally invasive surgery is higher than that of peroneal nerve injury. In general, minimally invasive percutaneous surgery is the better choice. Of course, there are indications for any surgery, and percutaneous minimally invasive surgery is only suitable for closed or spontaneous Achilles tendon rupture, and the rupture site must be more than 3 cm from the Achilles tendon stop, and the time should not exceed 2 weeks, otherwise the Achilles tendon contracture can only be repaired with autologous tendon or allograft tendon.