Why do I need surgery for my Achilles tendon rupture?
The Achilles tendon is the strong, fibrous cord in the lower leg connecting the muscles of your calf to your heel which helps you to walk, run and jump. When this tendon tears or ruptures, surgery is needed to fix the damaged tendon. The Achilles tendon can also degenerate via a condition known as tendinitis or tendinopathy, which can cause pain and stiffness along your Achilles tendon and near your heel. Having short calf muscles can also increase the risk of tendinopathy.
How does the surgery occur?
Your consultant orthopaedic surgeon will make a small incision through the skin and muscle of your calf and then through the sheath that surrounds the tendon. This will be performed as a minimally invasive procedure with a small scope and camera. The damaged tendon will be removed, or if it is ripped then this part of the tendon will be repaired with the strongest possible sutures so it can heal well.
If there is severe damage to parts of the tendon, the damaged parts may be replaced with tendon taken from another place in your foot. If there are any other repairs, the surgeon will ensure these are done at the same time before closing the layers of muscle and skin around your calf with sutures.
You will be sedated throughout your surgery, so you don’t feel anything. Whilst with all surgery there are complications, having surgery to fix a ruptured Achilles tendon means the tendon is less likely to rupture again. Your consultant will explain every option to you so you can decide what is best for you.
What preparation do I need before I go under surgery?
Your consultant will provide you with all the relevant information before your procedure, along with any preparation you may need to do in the days leading up to your surgery. It is important to tell your consultant about any medicines you may be taking, including any over the counter pain medicines such as paracetamol or aspirin.
You may need imaging tests before your surgery, including ultrasound, x-ray or an MRI.
Do not eat or drink 6 hours before you are due to have surgery otherwise your surgery may be delayed. More information about the fasting process will be given to you by your consultant in the period leading up to your surgery.
Please ensure you have a companion available to take you home after you leave OneWelbeck Orthopaedics.
What risks are there to the surgery?
With every surgery there are risks, if small. With Achilles tendon repair surgery these include:
- Excess bleeding
- Nerve damage
- An infection
- A blood clot
- Problems with the wound healing process
- Weakness of the calf
- Anaesthesia complications
- Continued pain in the foot or ankle
Risks may vary with age, the shape of the muscles and tendons in your foot and leg, your general health and wellbeing, and the type of surgery being performed. Our leading expert orthopaedic consultants will be able to help with any concerns you may have.
What aftercare process happens after my surgery?
After your operation, you will be watched by your dedicated nurse at OneWelbeck Orthopaedics for a few hours after your surgery. To stop your leg from moving, you will need to wear a cast or brace on your leg which will help the tendon to heal. Once you have seen your Consultant you will be able to go home the same day. You can start to do gentle exercise, and slowly start to get around which will help aid your recovery process and give you the best chance to recover fully.
Make sure you follow any advice given to you by your consultant orthopaedic surgeon including any advice on pain relief and wound dressing. Other treatment for a ruptured Achilles tendon may be advised, including rest, using cold compression therapies, pain medication, a device to stop movement of the foot, and physical therapy.
