Achillies Tendon Repair

What Is the Achilles Tendon?

The Achilles tendon is the largest tendon in the body, connecting the calf muscles to the heel bone. It plays a vital role in walking, running, and jumping. When this tendon tears or ruptures, patients often experience sudden pain, swelling, and difficulty pushing off the foot.

What Is Tendo-Achilles Repair?

Tendo-Achilles repair is a surgical procedure to repair a torn or ruptured Achilles tendon. The surgeon stitches the torn ends of the tendon back together to restore strength and function. This surgery is usually recommended for complete ruptures or severe tears that cannot heal with non-surgical treatment.

When Is It Needed?

Your doctor may recommend Achilles tendon repair if:

You have a complete rupture of the tendon.
You cannot walk, push off, or stand on tiptoe.
Non-surgical treatments (casting, bracing) are not suitable or have failed.
You are young, active, or wish to return to sports or physically demanding work.

The Procedure Step-by-Step

Evaluation – Physical exam and imaging confirm the rupture.
Anesthesia –General or regional anesthesia is given.
Incision – A small incision is made at the back of the ankle.
Repair – The torn ends of the tendon are stitched together; sometimes reinforced with grafts.
Closure – The incision is closed, and the ankle is bandaged.

Recovery and Rehabilitation

Hospital stay:Usually same-day or overnight.
Immobilization:A cast, splint, or boot is worn for several weeks.
Physiotherapy: Begins gradually to restore movement and strength.
Return to activities: Walking in 6–8 weeks; sports may take 6–12 months.

Benefits

Restores tendon strength and function.
Allows return to walking, running, and sports.
Reduces risk of re-rupture compared to non-surgical treatment in active patients.

Risks & Considerations

Infection, stiffness, or nerve injury (rare).
Risk of re-rupture if rehabilitation is not followed.
Recovery requires patience and strict adherence to physiotherapy.

Key Message for Patients

Tendo-Achilles repair is a safe and effective surgery for patients with complete Achilles tendon ruptures. By stitching the tendon back together, the procedure restores strength, relieves pain, and helps patients return to walking, sports, and daily activities. With proper rehabilitation, most patients achieve excellent long-term outcomes.

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