Open Repair (with possible reinforcement/patch)

Open repair/reinforcement may be considered for chronic or re-ruptures, significant degeneration of the ruptured ends, large defects, poor skin and soft tissue conditions, or when stronger tissue alignment and reinforcement are assessed as necessary. The decision is influenced by factors such as injury classification, gap size, tissue quality, previous treatment response, functional demands, and overall health status, and requires joint assessment by the orthopedic and anesthesia teams.