Achilles Repair

What is an Achilles Repair?

During this procedure, a surgeon makes a small incision on the back of the lower leg near the site of the rupture. To restore the tendon’s proper length and tension, the surgeon uses specialized needles and sutures to stitch the torn ends of the tendon back together.

This surgery is a very established procedure that has been performed for many years.

Who Should Have an Achilles Repair?

While it is possible for some individuals to recover from a torn Achilles without surgical intervention, the non-surgical path often involves a more difficult recovery process and prolonged limitations on mobility. Because of this, most patients with a full rupture choose to undergo surgery. While partial tears can sometimes heal on their own without surgery, these cases are relatively uncommon.

How Well Does an Achilles Repair Work?

The foot and ankle specialists at Fox Valley Orthopedics find that the vast majority of their patients are satisfied with the results of this procedure, and strive to give each patient the best outcome possible in their circumstance.

However, it is important for patients to have realistic expectations; because the Achilles is such a delicate tendon, most repairs do not return the tendon to 100% of its original strength. A more realistic goal for recovery is approximately 80-90% strength. Aside from these factors, the risks associated with this surgery are similar to those of other standard surgical procedures. Notably, the risk of the Achilles re-rupturing after a successful surgical repair is less than 4%.

What Can I Expect When I Have an Achilles Repair?

Depending on your medical history, you may be required to complete a pre-surgical physical to ensure any necessary health accommodations are made before the procedure. Upon arriving at the facility on the day of your surgery, you will meet with your anesthesiologist and surgeon. To manage pain following the operation, you may be administered a nerve block. The surgery is typically performed under general anesthesia, and you are positioned face down.

Following the operation, a physical therapist will guide you on how to navigate your environment—typically using crutches—during the initial stages of healing. This is generally an outpatient procedure, meaning you will likely go home the same day; however, you must arrange for someone to drive you home. For several weeks, you may rely on crutches for most daily activities. Your physical therapist will work closely with you to gradually restore your full mobility.

The amount of time you will need to take off from work depends largely on your specific job duties and mobility needs; however, office-based employees typically require 1-2 weeks of leave.