The Achilles tendon is the largest tendon in the body, which allows us to push off with forces up to 10 times our body weight.
An Achilles tendon tear, or rupture, usually is a complete gap in the tendon 4-5 cm above the heel bone. The actual mechanism is commonly a rapid loading of an already-tensed tendon, e.g. lunging forward from a standing start.
Surgical repair restores the appropriate length of the tendon and is associated with good strength, and return to sport and higher level activity, with a low repeat rupture rate. It has a faster return to work and normal activities than conservative management.
A 2 cm incision and a minimally invasive technique is performed to realign the tendon and repair it with a series of strong sutures.
Post operatively weight bearing is allowed in a Vacoped boot. After 2 weeks of elevation a functional rehabilation program is commenced, coming out of the boot 8 weeks following surgery. A calf strengthening program is then commenced.
Surgery has small risks of wound breakdown and infection and deep vein thrombosis.