Achilles Tendon Repair Surgery
What is Achilles tendon repair surgery?
Achilles tendon repair surgery is a type of surgery to fix a damaged Achilles tendon.
The Achilles tendon is a strong, fibrous cord in the lower leg. It connects the muscles
of your calf to your heel. It’s the largest tendon in your body. It helps you walk,
run, and jump.
In some cases, the Achilles tendon can tear, or rupture. This is usually due to a
sudden, strong force. It can happen during tough physical activity. It can happen
if you suddenly move faster or pivot on your foot. Having a foot that turns outward
too much can increase your risk of a torn tendon. A ruptured Achilles tendon can cause
pain and swelling near your heel. You may not be able to bend your foot downward.
The Achilles tendon can also degenerate. This is also known as tendinitis or tendinopathy.
This might cause symptoms like pain and stiffness along your Achilles tendon and on
the back of your heel. This is most often through overuse and repeated stress to the
tendon. It can result from repeated stress on your tendon, especially if you have
recently been more active. Having short calf muscles can increase your risk of tendinopathy.
During the surgery, an incision is made in the back of the calf. If the tendon is
ruptured, the surgeon will stitch the tendon back together. If the tendon is degenerated,
the surgeon may remove the damaged part of the tendon and repair the rest of the tendon
with stitches. If there is severe damage to a lot of the tendon, the surgeon might
replace part or all of your Achilles tendon. This is done with a tendon taken from
another place in your foot.
In some cases, the Achilles tendon repair surgery can be done as a minimally invasive
procedure. This is done with several small incisions instead of one large one. It
may use a special scope with a tiny camera and a light to help do the repair.
Why might I need Achilles tendon repair surgery?
You might need Achilles tendon surgery if you tore your tendon. Surgery is advised
for many cases of a ruptured Achilles tendon. But in some cases, your healthcare provider
may advise other treatments first. These may include pain medicine, or a temporary
cast to prevent your leg from moving. And your healthcare provider may not advise
surgery if you have certain medical conditions. These include diabetes and neuropathy
in your legs.
Or you may need Achilles tendon repair surgery if you have tendinopathy. But in most
cases, other treatments can be used to treat tendinopathy. These include resting your
foot, using ice and pain medicines, and using a brace or other device to stop your
foot from moving. Physical therapy can also help. If you still have symptoms after
several months, your healthcare provider might advise surgery.
Depending on the type of problem you have, Achilles tendon surgery might work for
you. Talk with your healthcare provider about the risks and benefits of your choices.
What are the risks of Achilles tendon repair surgery?
Every surgery has risks. Risks of Achilles tendon repair include:
- Excess bleeding
- Nerve damage
- Blood clot
- Wound healing problems
- Calf weakness
- Complications from anesthesia
- Continued pain in your foot and ankle
Your own risks may vary according to your age, the shape of your foot and leg muscles
and tendons, your general health, and the type of surgery done. Talk to your healthcare
provider about any concerns you have. He or she can tell you the risks that most apply
How do I prepare for Achilles tendon repair surgery?
Talk with your healthcare provider how to prepare for your surgery. Tell your healthcare
provider about all the medicines you take. This includes over-the-counter medicines
such as aspirin. You may need to stop taking some medicines ahead of time, such as
blood thinners. If you smoke, you’ll need to stop before your surgery. Smoking can
delay healing. Talk with your healthcare provider if you need help to stop smoking.
Before your surgery, you may need imaging tests. These may include ultrasound, X-rays,
or magnetic resonance imaging (MRI).
Do not eat or drink after midnight the night before your surgery. Tell your healthcare
provider about any recent changes in your health, such as a fever.
You may need to plan some changes at home to help you recover. This is because you
won’t be able to walk on your foot normally for a while. Plan to have someone drive
you home from the hospital.
What happens during Achilles tendon repair surgery?
Achilles tendon surgery can be done with several methods. The surgery is done by an
orthopedic surgeon and a team of specialized healthcare providers. Ask your healthcare
provider about the details of your surgery. The surgery may take a couple of hours.
During your surgery:
- You may have spinal anesthesia. This is so you won’t feel anything from your waist
down. You’ll also likely be given sedation. This will help you sleep through the surgery.
- A healthcare provider will watch your vital signs, like your heart rate and blood
pressure, during the surgery.
- The surgeon will make an incision through the skin and muscle of your calf. If you
have minimally invasive surgery, the surgeon will make a smaller incision. He or she
may then use a tiny camera with a light to help do the surgery.
- Your surgeon will make an incision through the sheath that surrounds the tendon. He
or she will remove parts of your damaged tendon, or repair the rip in the tendon.
- Your surgeon may remove another tendon from your foot. This is then used to replace
part or all of the Achilles tendon.
- Your surgeon will make any other repairs that are needed.
- The healthcare provider will close the layers of skin and muscle around your calf
What happens after Achilles tendon repair surgery?
A healthcare provider will watch you for a few hours after your surgery. When you
wake up, you will likely have your ankle in a splint. This is to keep it from moving.
Achilles tendon surgery is often an outpatient procedure. This means you can go home
the same day.
You will have some pain after your surgery, especially in the first few days. Pain
medicines will help relieve your pain. Keep your leg elevated as often as possible.
This can help reduce swelling and pain. Make sure to tell your healthcare provider
right away if you have a high fever or pain in your ankle or calf that gets worse.
After your surgery, you will likely need to use crutches. This is so you can keep
your weight off your leg.
About 10 days after your surgery, you’ll need to return to your healthcare provider
to have your stitches removed. Your healthcare provider might replace your splint
with a cast at this time. If so, follow all instructions about keeping your cast dry.
Or, your healthcare provider may give you a special removable boot instead of a cast.
Your healthcare provider will give you instructions about when you can put weight
on your leg. He or she will tell you how to strengthen your ankle and leg muscles
as you recover. You may need to do physical therapy to help with your recovery.
Make sure to follow all your healthcare provider’s instructions about medicines, wound
care, and exercises. This will help make sure the surgery is a success for you.
Before you agree to the test or the procedure make sure you know:
- The name of the test or procedure
- The reason you are having the test or procedure
- What results to expect and what they mean
- The risks and benefits of the test or procedure
- What the possible side effects or complications are
- When and where you are to have the test or procedure
- Who will do the test or procedure and what that person’s qualifications are
- What would happen if you did not have the test or procedure
- Any alternative tests or procedures to think about
- When and how will you get the results
- Who to call after the test or procedure if you have questions or problems
- How much will you have to pay for the test or procedure