Achilles Rupture

Symptoms:

• Sudden Sharp Pain: Patients often describe feeling a sudden and severe pain in the back of their ankle or calf. It can be like being struck by a sharp object.

• Audible "Pop": Some individuals report hearing a distinct "pop" or snapping sound at the time of injury, which can be the Achilles tendon tearing.

• Swelling: Swelling and inflammation may occur rapidly around the injured area.

• Difficulty Walking: Due to the inability to effectively push off the foot, walking becomes challenging. Patients may limp or have difficulty lifting their heel off the ground.

• Weakness: There may be noticeable weakness in the calf muscle.

• Bruising: In some cases, bruising can occur around the injured area due to internal bleeding.

• Limited Range of Motion: An Achilles tendon rupture can lead to a limited range of motion at the ankle joint.

Surgical Procedure:

• Preoperative Evaluation: Before surgery, a thorough evaluation is conducted, which may include physical examination, imaging tests (e.g., MRI), and medical history review. This helps the surgeon assess the extent of the injury and plan the surgical approach.

• Anaesthesia: Most Achilles tendon repair surgeries are performed under general anaesthesia. The choice of anaesthesia will depend on the patient's health and the surgeon's preference.

• Incision: The surgeon makes a small incision in the back of the calf, typically above the site of the injury. In some cases, minimally invasive techniques may be used, which involve smaller incisions.

• Tendon Repair: The surgeon identifies the torn ends of the Achilles tendon and sutures them back together. Depending on the severity and location of the tear, additional reinforcement using other tissues (e.g., a tendon graft) may be necessary.

• Suture Technique: Various suturing techniques may be used, such as a Krackow suture or a Bunnell suture, to secure the tendon ends. This is done to ensure a strong and stable repair.

• Wound Closure: The incision is closed with stitches, staples, or adhesive strips, and a sterile dressing is applied.

• Postoperative Care: After surgery, the patient will likely be placed in a cast or brace that immobilises the ankle for a period of time to allow the tendon to heal. Physical therapy is an essential component of the recovery process, helping to regain strength and flexibility.

• Rehabilitation: Rehabilitation typically involves a gradual progression of weight-bearing activities and exercises, supervised by a Podiatrist or Physical Therapist. The duration of rehabilitation varies depending on the patient and the surgical technique used.

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It's important for patients to follow their surgeon's guidance closely to achieve the best possible outcome. Recovery can take several months, and there may be a need for a gradual return to normal activities, especially if they involve physical demands on the Achilles tendon.

​Patients should discuss the specifics of their diagnosis, procedure, and postoperative care with their healthcare provider, as individual cases can vary.