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Achilles tendon repair

Achilles tendon rupture - surgery; Percutaneous Achilles tendon rupture repair

Your Achilles tendon joins your calf muscle to your heel. You can tear your Achilles tendon if you land hard on your heel during sports, from a jump, accelerating when you are pushing off, or when stepping into a hole.

Surgery to repair the Achilles tendon is done if your Achilles tendon has a complete tear.

I Would Like to Learn About:

Description

To fix your torn Achilles tendon, the surgeon will:

After that, the surgeon will:

Why the Procedure Is Performed

Before surgery is considered, you and your health care provider will talk about ways to take care of your Achilles tendon rupture.

You may need this surgery if your Achilles tendon has torn and separated.

You need your Achilles tendon to point your toes and push off your foot when walking. If your Achilles tendon is not fixed, you can have problems walking up stairs or rising up on your toes. However, studies have shown that Achilles tendon tears can be treated without surgery and have similar outcomes. Talk to your provider about which course of treatment is best for you.

Risks

Risks from anesthesia and surgery are:

Possible problems from Achilles tendon repair are:

There is a small chance that your Achilles tendon could tear again. About 5 out of 100 people will have their Achilles tendon tear again.

Before the Procedure

Always tell your surgeon:

During the days before the surgery:

On the day of the surgery:

After the Procedure

Work with your surgeon to keep your pain in control. Your heel may be very sore.

You will be wearing a cast or splint for a period of time.

Many people can be discharged the same day of the surgery. Some people may require a short stay in the hospital.

Keep your leg elevated for as much as possible during the first 2 weeks to reduce swelling and promote wound healing.

Outlook (Prognosis)

You will be able to resume full activity in about 6 months. Expect full recovery to take about 9 months.

References

Azar FM. Traumatic disorders. In: Azar FM, Beaty JH, eds. Campbell's Operative Orthopaedics. 14th ed. Philadelphia, PA: Elsevier; 2021:chap 48.

Irwin TA. Tendon injuries of the foot and ankle. In: Miller MD, Thompson SR, eds. DeLee, Drez, & Miller's Orthopaedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier; 2020:chap 118.

Jasko JJ, Brotzman SB, Giangarra CE. Achilles tendon rupture. In: Giangarra CE, Manske RC, eds. Clinical Orthopaedic Rehabilitation: A Team Approach. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 45.

Noordsy M. Foot and ankle. In: Rynders SD, Hart JA, eds. Orthopaedics for Physician Assistants. 2nd ed. Philadelphia, PA: Elsevier; 2022:chap 8.

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Review Date: 8/12/2023  

Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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