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 intense 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 uses 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 doctor may advise more other treatments first. These may include pain medication, or a temporary cast to prevent your leg from moving. And your doctor 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 medications, 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 doctor might advise surgery.
Depending on the type of problem you have, Achilles tendon surgery might work for you. Talk with your doctor about the risks and benefits of your options.
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 doctor about any concerns you have. He or she can tell you the risks that most apply to you.
How do I prepare for Achilles tendon repair surgery?
Talk with your doctor how to prepare for your surgery. Tell your doctor about all the medications you take. This includes over-the-counter medications such as aspirin. You may need to stop taking some medications 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 doctor 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 doctor 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 health care providers. Ask your doctor 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 health care 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 will 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 team will close the layers of skin and muscle around your calf with sutures.
What happens after Achilles tendon repair surgery?
A health care 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 medications 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 doctor 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 doctor to have your stitches removed. Your doctor might replace your splint with a cast at this time. If so, follow all instructions about keeping your cast dry. Or, your doctor may give you a special removable boot instead of a cast.
Your doctor 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 doctor’s instructions about medications, 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
- The risks and benefits of the test or procedure
- When and where you are to have the test or procedure and who will do it
- When and how will you get the results
- How much will you have to pay for the test or procedure