Insertional Achilles Tendinopathy
The goal of surgery is to establish a pain free stable Achilles tendon insertion. A series of steps are required, including removal of the painful heel spurs, trimming the inflamed tendon which has calcified thickenings, and then reinserting the tendon.
A strong fixation technique is utilised to reattach the Achilles tendon. To allow the tendon to heal with minimal inflammation a 6 week period of no-weight bearing is required. This is followed by a progressive weight bearing and strengthening.
Mid Substance Achilles Tendinopathy
The goal of surgery is to treat the factors causing the painful swelling in the Achilles. This involves a small incision, a release of the plantaris muscle and a scraping of the inflamed tissue in front of the Achilles.
This technique allows early rehabilitation, as the achilles remains intact. An initial 2 week rest period is followed by a gentle stretching program. A good result is seen inn over 90% of cases.
RISKS & COMPLICATIONS
The risks and complications will be assessed and discussed with you. There is a small risk of infection, deep vein thrombosis, and wound issues. There is a small chance of recurrence of thickening of the tendon. A good outcome is achieved in more than 90% of cases.