Achilles Tendon Repair

What is Achilles tendon repair?

When it comes to treating an Achilles tendon rupture, there are two main options: non-surgical treatment or surgical repair. Your consultant will evaluate your symptoms and factors such as age and physical activity level, and then discuss with you which treatment is most appropriate.

If the torn ends of the tendon are close together, non-operative treatment may be possible. This involves placing the calf in a plaster cast or brace for a couple of weeks, which allows the tendon to heal at the correct length without the need for surgery. However, it’s important to note that this approach does carry a slightly higher risk of re-rupture, and the tendon may not be as strong as it was before the injury.

To increase the chances of success with non-surgical treatment, early diagnosis is crucial. It’s also important to position the ankle correctly for healing and engage in specific rehabilitation exercises.

What does Achilles tendon repair involve?

Surgical repair of an Achilles tendon rupture is typically performed as a day case and requires a general anaesthetic, as well as a local anaesthetic block. To minimise post-surgical pain, an injection of local anaesthetic is administered into the back of the knee around the nerves, and this is done under image guidance.

By using minimally invasive techniques to reattach the tendon ends, recovery can be accelerated, and the likelihood of a recurrence of the tendon rupture can be reduced. This approach is particularly suitable for physically active and younger individuals.

Overall, surgical repair involves several steps, including a thorough evaluation by a consultant to determine the most appropriate surgical approach, followed by the administration of general anaesthesia and the local anaesthetic block. The surgery itself is performed with the help of image guidance and minimally invasive techniques, which can help to speed up the healing process and reduce the chance of complications.

Why might I need Achilles tendon repair?

If you’re experiencing pain or inflammation in your Achilles tendon (tendinitis) or have suffered from an Achilles tendon rupture, you may require Achilles tendon repair. This can be an effective way to address these issues and help restore normal function to the affected area.

In general, Achilles tendon problems can be caused by a variety of factors, including overuse, aging, and certain medical conditions. Symptoms can range from mild discomfort to severe pain and can make it difficult to engage in normal activities. If left untreated, these problems can worsen over time, potentially leading to more significant damage and a longer recovery period.

Achilles tendon repair is typically performed by a qualified consultant and may involve either surgical or non-surgical approaches, depending on the specific nature and severity of your condition. Your consultant will evaluate your symptoms and medical history, as well as any other relevant factors, before recommending the most appropriate treatment approach.

How long does it take to recover?

After your operation, your foot will be placed in plaster, and you will be given crutches to aid mobility. Typically, patients can return home on the same day as their surgery. However, for the first two weeks following the procedure, it’s essential that you do not put any weight through your leg.

After this initial two-week period, your cast will be removed, and you will be given a supportive boot to wear for the next six to eight weeks. During this time, you’ll begin rehabilitation with a physiotherapist, who will provide guidance on exercises and activities to help you regain strength and mobility in the affected area.

Driving is usually possible within three months, or earlier if your surgery was on your left foot, and you have an automatic car. You’ll also be able to resume your usual fitness routine, while continuing with your rehabilitation program as advised by your physiotherapist.

If your job is primarily sedentary, you can expect to return to work within a month. However, if your role is more manual, you may need up to four months to recover fully before returning to work. Regardless of your job type, it’s important to follow your consultant’s advice regarding activity levels and returning to work to ensure a safe and successful recovery.

What is the long-term impact of Achilles tendon repair?

Around six months after surgery, you should expect to experience very little swelling and may be able to start gradually returning to high-level sport.

Within a year of your Achilles tendon repair surgery, you can expect your tendon to be fully repaired, and you’ll be able to participate fully in your previous sports and fitness activities. It’s essential to follow your consultant’s advice on returning to sport and activity levels to avoid re-injury and ensure a successful recovery.

Dr. Prasad Bhagunde

MS Ortho D Ortho DNB

Senior Orthopaedic Consultant and Sports Medicine Surgeon