Achilles Tendon Repair Surgery Overview

Achilles tendon repair is a critical surgical procedure aimed at restoring functionality and strength to the Achilles tendon, one of the most significant structures in the human body. Commonly resulting from acute injury or chronic degeneration, a ruptured Achilles tendon can cause considerable pain, swelling, and impaired mobility. The repair process typically involves suturing the torn tendon, promoting healing through meticulous surgical techniques, and often incorporating rehabilitation protocols tailored to the individual’s needs. With advancements in surgical methods and post-operative care, patients can look forward to a gradual return to their daily activities and sports, regaining the strength and flexibility necessary for optimal performance. Early intervention and expert management are key factors in achieving favourable outcomes in Achilles tendon repair.

Step-by-Step Breakdown of Achilles Tendon Repair Surgery

  1. Pre-operative Preparation

    • The patient undergoes a thorough medical evaluation, including imaging studies (e.g., MRI or ultrasound) to assess the extent of the tendon injury.

      Informed consent is obtained, and the patient is advised on the surgical procedure, risks, and expected outcomes.

      Fasting guidelines are provided, as the patient will require anaesthesia.

  2. Positioning and Anaesthesia

    • The patient is brought into the operating room. Anaesthesia options include general or regional anaesthesia.

    • The chosen method is administered to ensure the patient is comfortable and pain-free throughout the procedure.

    • The patient is positioned on the operating table, typically in a prone position for easier access to the Achilles tendon.

    • The surgical area, including the lower leg, is cleaned and sterilised using antiseptic solutions to minimize infection risk.

  3. Surgical Approach

    • A longitudinal incision is made along the back of the ankle, over the site of the torn or ruptured Achilles tendon.

    • The skin and underlying tissue are carefully dissected to expose the tendon.

  4. Assessment of the Injury

    • The surgeon evaluates the condition of the tendon and surrounding structures.

    • Damaged tissue may be removed, and the remaining healthy tendon is prepared for repair.

  5. Tendon Repair

    • The surgeon employs sutures or other fixation devices to reattach the torn ends of the tendon.

    • Techniques may include end-to-end suturing or reinforcement with grafts, depending on the extent of the injury.

  6. Closure

    • The soft tissues are carefully layered back and closed using sutures or staples.

    • The skin is sutured to ensure proper healing and minimise scarring.

  7. Post-operative Care

    • A splint or cast is applied to immobilise the foot and ankle, allowing the tendon to heal properly.

    • The patient is given post-operative care instructions, including guidelines for pain management and activity restrictions.

  8. Rehabilitation

    • A structured rehabilitation programme is established, which may begin with gentle passive range-of-motion exercises.

    • Gradual progression to strengthening and weight-bearing activities is advised, typically commencing several weeks post-surgery.

  9. Follow-up Appointments

    • The patient is scheduled for follow-up visits to monitor healing and assess the functional recovery of the tendon.

    • Adjustments to the rehabilitation plan may be made based on the patient’s progress and specific recovery needs.

This straightforward outline covers the fundamental steps in achilles repair surgery. Each case may require specific adjustments based on individual circumstances. Proper adherence to pre-operative and post-operative protocols is essential for successful outcomes.