ACHILLES TENDON REPAIR
- Method
- Open or minimally invasive Achilles tendon repair
- Duration
- 30 to 60 minutes, depending on the technique
- Recovery time
- 3 to 6 months until full weight-bearing
Achilles tendon repair is a surgical treatment for a ruptured Achilles tendon. As experienced foot and ankle surgeons in Freiburg we carry out this operation using the most modern techniques. The Achilles tendon is the strongest tendon in the body and connects the calf muscles to the heel bone.
How does Achilles tendon repair work?
In Achilles tendon repair the ruptured tendon is repaired surgically. We use different techniques depending on the type and the site of the rupture. A fresh rupture can be sutured directly; with an older rupture or with degenerative changes the repair is often reinforced with the patient's own tissue.
The operation is usually carried out under general or regional anaesthetic. The ruptured tendon is exposed through a small incision and joined together again with special suture techniques. Absorbable material is used, which dissolves after a few months.
After the repair the ankle is immobilised in a special orthosis for 6 to 8 weeks. Rehabilitation begins in the very first week with careful mobilisation exercises. Full weight-bearing is built up step by step over 3 to 6 months.
The success rate of Achilles tendon repair is very high. After rehabilitation most patients can return to their usual activities, including sport. The operation is carried out as a day case or with a short stay in hospital.
Rehabilitation
Rehabilitation after Achilles tendon repair runs in several phases and is decisive for the success of the operation. Our experienced physiotherapists accompany you through the whole healing process.
Phase I (weeks 1-6)
In the first phase the ankle is immobilised in an orthosis. Careful mobilisation exercises and lymphatic drainage encourage healing and reduce swelling. Weight-bearing is only with crutches.
Phase II (weeks 7-12)
The second phase comprises building up the load step by step and strengthening the calf muscles. Physiotherapy exercises improve the movement and stability of the ankle.
Phase III (months 4-6)
Phase III focuses on taking up sporting activity again and on improving strength and endurance. Running exercises and sport-specific training are introduced.
Phase IV (months 7-9)
The final phase aims to restore full load-bearing capacity and to integrate sporting activity completely. Regular check-ups ensure that healing takes its best course.