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Primary Repair of Achilles Tendon

Primary repair of the Achilles tendon is a specialised surgical procedure designed to treat a ruptured Achilles tendon. This surgery involves stitching the torn ends of the tendon back together to restore its normal function and strength, and is a common surgical option for treating an Achilles rupture. The Achilles tendon, the strongest and largest tendon in the body, connects the calf muscles to the heel bone and is essential for walking, running, and jumping.

Achilles tendon rupture can occur suddenly, often during sports or physical activities, and requires prompt medical attention. By repairing the tendon, this surgery aims to restore mobility and prevent long-term complications.

Also known as: Achilles tendon surgery, Achilles tendon repair.

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Everything You Need to Know

Surgical repair of the Achilles tendon is more than just a corrective procedure; it’s a precise intervention aimed at restoring the tendon’s integrity and function for those suffering from a rupture. This surgery is particularly beneficial for active individuals who wish to return to their previous level of physical activity.

Key benefits of Achilles tendon repair include:

  • Restored Function: Restoration of normal tendon function, enabling better mobility and strength.
  • Pain Relief: Reduction or elimination of pain caused by the tendon rupture.
  • Preventative Care: Minimises the risk of complications and further injury.

Before Surgery

Consultation

The first step is a thorough consultation with one of our expert orthopaedic surgeons. During this session, your medical history, symptoms, and previous treatments will be reviewed to determine if primary repair of the Achilles tendon is the right option for you. This consultation is essential for tailoring the treatment to your specific needs and ensuring the best possible outcomes.

Health Assessment

A comprehensive health assessment will be conducted to ensure you are fit for surgery. This includes blood tests, imaging studies (like ultrasound or MRI scans), and a review of any medications you are currently taking. The assessment helps in identifying any potential risks and planning the surgery accordingly. MRI studies are particularly useful for diagnosing and planning the treatment of chronic injuries.

Pre-Procedure Instructions

To ensure a smooth procedure and optimal recovery, you will receive detailed pre-procedure instructions. These may include:

  • Medication Adjustments: Guidance on which medications to stop or continue.
  • Fasting: Instructions to refrain from eating or drinking after midnight on the day of your surgery.
  • Lifestyle Advice: Recommendations such as stopping smoking and maintaining a healthy diet.

During Surgery

Our state-of-the-art facilities and experienced surgical team are dedicated to ensuring your comfort and safety throughout the procedure.

Anaesthesia

You will receive anaesthesia to ensure you are comfortable during the surgery. Options include general anaesthesia, which puts you to sleep, or regional anaesthesia, which numbs the lower leg while allowing you to stay awake during the procedure.

Surgical Process

The surgeon will make an incision at the back of your ankle to access the ruptured tendon. Minimally invasive surgery techniques may be used, offering benefits such as an early return to activity and reduced risk of re-rupture. The torn ends of the tendon will be carefully stitched back together, and in some cases, a graft may be used to strengthen the repair. In cases with extensive damage, tendon transfer may be recommended, involving repositioning the tendon responsible for flexing the big toe to reinforce the Achilles tendon. This precise process ensures that the tendon heals correctly, restoring its function and strength.

Monitoring and Recovery

Post-surgery, you will be monitored in a recovery area. Our care team will manage your pain and monitor your initial recovery to ensure everything is proceeding as expected.

After surgery

Immediate Post-Op Care

Managing post-operative effects such as swelling, bruising, and discomfort is crucial. One potential complication to be aware of is the risk of deep vein thrombosis, which should be considered when opting for surgical repair. Significant pain management is essential to ensure a smooth recovery process. Additionally, the risk and management of wound complications are important factors to consider, as they can vary between different surgical techniques and nonoperative management. Our team will provide you with pain management strategies and detailed care instructions. Keeping the wound clean and dry is vital to prevent infection.

Follow-Up Care and Physical Therapy

Regular follow-up appointments will be scheduled to monitor your recovery and assess the success of the surgery. It is important to assess ankle plantar flexion during these visits to ensure proper healing. These visits are essential to address any concerns and ensure optimal recovery. Physical therapy will be a key component of your rehabilitation, helping to rebuild strength, flexibility, and range of motion in the tendon over several weeks.

Appointment and Treatment Plan

01

Initial Consultation

Your journey begins with a detailed consultation to discuss your goals and determine your suitability for primary repair of the Achilles tendon.

02

Personalised Treatment Plan

A tailored treatment plan will be developed based on your consultation, outlining the specifics of your procedure and recovery plan.

03

Pre-Procedure Assessment

A thorough pre-procedure assessment ensures you are fit for surgery, involving necessary tests to uphold the highest standards of care and safety.

04

The Procedure

Performed by our skilled medical team, the surgery will focus on achieving the best possible outcomes for your Achilles tendon rupture. The procedure may involve the use of the flexor hallucis longus in surgical treatment for chronic Achilles tendon rupture. The procedure is designed to be safe and effective, providing long-term relief from pain and discomfort.

05

Aftercare and Recovery

Post-procedure, you will receive detailed aftercare instructions and have follow-up appointments to support your recovery and ensure the best results.

Top Tips

  • Follow All Instructions: Adhere strictly to the aftercare guidelines provided by your clinician. Following instructions is crucial to avoid complications and reduce the risk of re rupture.
  • Rest and Recuperation: Allow your body ample time to heal, avoiding strenuous activities that could impact the results.
  • Stay Hydrated and Eat Healthily: Maintain a balanced diet and drink plenty of fluids to support your recovery and overall well-being.