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WHAT IS IT

  • The achilles tendon can tear during sports, running, or jumping
  • The patient typically feels a pop in the back of the leg and thinks they have been kicked
  • In non-athletes the achilles tear can be treated without surgery.
  • In athletes the tear is repaired to restore proper tension to the achilles and improve the function of the leg.

PROCEDURE

  • The achilles is repaired through a small incision on the back of the ankles
  • Heavy suture is used to repair the ends of the tendon together

DAY OF SURGERY

  • Sedation and nerve block anesthesia
  • 1 hour surgery
  • Outpatient

RECOVERY

  • Plaster splint 10 days to let the wound heal
  • 2-6 weeks in boot with crutches
  • PT starts week 2 and strengthening starts week 8
  • Jogging at 4 months
  • Full recovery 6 months

RISKS (rare)

  • Nerve injury
  • Asymmetry of achilles
  • Re-tear
  • Weakness can persist for 1 year

Torn Achilles Before

Torn Achilles Before

After Repair

After Repair

Skin Closure

Skin Closure

  • American Orthopedic Society for Sports Medicine
  • The Association of Clinical Elbow and Shoulder Surgeons (ACESS)
  • American Academy of Orthopedic Surgeons
  • The American Shoulder and Elbow Surgeons (ASES)