The surgical repair of an Achilles tendon rupture using very strong sutures.
The Achilles is a large tendon that runs down the back of the leg and connects to the heel of the foot. While this tendon is very strong and can withstand a great deal of stress, a partial tear or a complete rupture can still occur if that stress becomes too great. In cases where the tendon is not completely torn or the patient is not an optimal surgical candidate, non-surgical treatment may be implemented. However, if the tear is large or the Achilles tendon has completely ruptured, surgical repair of the tendon is recommended. Surgery to repair the tendon is often performed in a timely manner, as close to the initial injury as possible, to ensure optimal healing and functionality. The repair can be done in a hospital or at an ambulatory surgical center. Your surgeon will dissect down to the injured tendon, identify the two sides of the ruptured tendon and then suture the them back together using very strong sutures. The foot and ankle will be immobilized after surgery, often in a plantar flexed position (the foot and ankle are flexed downward away from the body) to relieve any stress on the newly repaired Achilles tendon. Once the tendon has been allowed adequate healing time with rest and elevation, your doctor will begin a gradual physical therapy program to stretch and strengthen the Achilles tendon and muscles that accompany ankle motion. Whether the tendon is treated conservatively or surgically, physical therapy is an important component to the overall healing process.
As our patient, you will have an in-depth consultation with one of our doctors. We will create an individualized treatment plan together, tailored to your problem and lifestyle. Our doctors prefer non-invasive treatments whenever possible, including physical therapy and/or injections. If your problem ultimately does require surgery, our doctors prefer the least invasive surgical techniques possible. Our goals are the same as yours: to get you back to living your best life, pain free.