Achilles Reconstruction

Surgery Indications:

• Partial Tear or Tendinopathy: In some cases, the Achilles tendon may have a partial tear or degenerative changes (tendinopathy). While not all partial tears require surgery, severe cases or those that don't respond to conservative treatments may benefit from surgical repair.

• Chronic Tendinosis: Chronic Achilles tendinosis refers to a degenerative condition where the tendon becomes thickened and weakened due to repeated micro-injuries. If conservative treatments fail to provide relief, surgical intervention may be considered to remove damaged tissue and stimulate healing.

• Haglund's Deformity: Haglund's deformity is a condition where a bony prominence at the back of the heel (Haglund's bump) can irritate and put pressure on the Achilles tendon, leading to pain and inflammation. Surgical correction of Haglund's deformity may be accompanied by Achilles tendon repair if the tendon is damaged.

• Revision Surgery: In some cases, individuals who have previously undergone Achilles tendon surgery may require revision surgery due to complications or inadequate initial repair.

Diagnosis and Evaluation:

Before surgery is recommended, your orthopaedic surgeon will conduct a thorough evaluation of your Achilles tendon injury. This may include physical examination, imaging tests like MRI or ultrasound, and a discussion of your medical history.

Indication of Surgery:

Surgery is generally considered when the Achilles tendon is partially or completely torn or if there is a severe injury that cannot be effectively treated with non-surgical methods. Common reasons for surgery include Achilles tendon ruptures and chronic Achilles tendinopathy that doesn't respond to conservative treatments.

Types of Surgery:​

• Open Surgery: This involves making a single large incision to access the damaged Achilles tendon.

• Minimally Invasive Surgery: This approach, often called percutaneous or endoscopic surgery, involves smaller incisions and the use of specialized instruments to repair the tendon.

Preparation for Surgery:

Your surgeon will provide specific instructions on how to prepare for the surgery. This may include fasting before the procedure, discontinuing certain medications, and arranging for transportation to and from the hospital.

Aneasthesia:

Achilles tendon repair surgery is typically performed under general anaesthesia, which means you'll be unconscious during the procedure.  Majority of my cases are general + regional block.  The goal is to provide excellent pain relief in the first 12-24 hours after surgery

Surgery Procedure:

During surgery, your surgeon will carefully access the damaged tendon and repair it. The type of repair will depend on the extent and nature of the injury. This may involve suturing the torn ends of the tendon or removing damaged tissue.

Recovery Time:

Recovery time after Achilles tendon repair surgery can vary depending on the type of surgery and the individual patient. Typically, you will need to wear the boot, or moon boot for several weeks to protect the repaired tendon.

Physical Therapy or Podiatry:

Physical therapy, or Podiatry is a crucial part of the recovery process. Your physical therapist or Podiatrist will help you regain strength and range of motion in your ankle and calf through exercises and stretching. Patients who continue rehabilitation with our team will see one of our Podiatrists for a full post-operative program.  Should you be from a regional area or have your own physio/podiatrist, we arrange a handover including written exercises for you to commence until you transition to your preferred practitioner.

Risks and Complications: 

Like any surgery, Achilles tendon repair carries certain risks, including infection, blood clots, and anaesthesia complications. Your surgeon will discuss these risks and others with you before the procedure.

Long-Term Outlook: 

Most patients can expect a gradual return to normal activities and sports after Achilles tendon repair surgery. The success of the surgery often depends on following post-operative instructions and a diligent rehabilitation program.

Follow-Up Appointments: 

You will have several follow-up appointments with our team to monitor your progress and ensure the healing process is going well.

Lifestyle Modifications: 

After surgery, you may need to make some lifestyle modifications, such as avoiding certain physical activities and following a gradual return-to-activity plan.

 

It's important to discuss your specific condition, treatment plan, and any concerns you have with our orthopaedic surgeon. They will be able to provide you with tailored information and guidance based on your individual case.