Achilles Rupture Repair

The Achilles tendon is the strong band of tissue that connects the calf muscle to the heel. This tendon helps the foot to point downward and assists with foot movement for walking, running and jumping. If the tendon becomes stretched too far, it may tear, or rupture. After an Achilles tendon rupture, patients usually experience severe pain and swelling near the heel of the foot and are unable to walk normally or bend their foot.

An Achilles rupture  often occurs as a result of repeated stress on the tendon while playing sports such as soccer or basketball. Although frequently resulting from the same stresses that cause Achilles tendonitis, an Achilles rupture is a far more serious injury. Sometimes nonsurgical treatment methods will be effective selected cases, but an Achilles tendon rupture usually requires surgical repair.

Causes of Achilles Tendon Ruptures

There are a variety of factors that may contribute to the rupture of the Achilles tendon. It is especially common among athletes who participate in sports that require sudden movements, such as running, football, basketball and tennis. While inflammation of the tendon is quite common and may develop gradually, ruptures are usually caused by traumatic injury, frequently accompanied by a popping or snapping sound as the tendon tears. Men over the age of 30 are particularly prone to Achilles ruptures.

Common factors that may contribute to Achilles tendon ruptures include:

  • Overuse of the tendon
  • Poor stretching habits prior to exercise
  • Engaging in physical activity after a long break
  • Taking certain types of antibiotics, such as Cipro or Levaquin
  • Having steroid injections into the ankle joint
  • Running on difficult terrain

Diagnosis of Achilles Tendon Rupture

Following an Achilles rupture, patients typically have pain in the ankle or lower leg, making it difficult to walk. Because these symptoms are similar to those of other conditions, such as bursitis and tendonitis, it is important to seek prompt medical attention in order to determine the correct diagnosis.

Achilles Rupture Repair Treatment

Treatment for an Achilles tendon rupture usually requires undergoing surgery to repair the tendon and restore function to the foot. Surgical Achilles rupture repair involves making an incision in the back of the lower leg to access the damaged tendon. The ruptured tendon is then repaired and sometimes reinforced with other tendon tissue. There are minimally invasive techniques in selected cases.

Recovery from Achilles Rupture Repair

Whether Achilles rupture repair is performed surgically or non-surgically, a period of physical rehabilitation will be necessary. Physical rehabilitation programs for this injury may include stretching and strengthening exercises for the leg muscles and the Achilles tendon, which can be extremely effective at restoring full function to the leg.

Patients, who have undergone Achilles rupture repair treatments, whether surgical or nonsurgical, will usually be able to return to their normal activity levels after four to six months of recovery.



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Dr. Hubbard’s goal as a Foot and Ankle Surgeon is to provide expertise in achieving an accurate diagnosis, implementing exceptional surgical technique whenever indicated, and most importantly, utilizing practical judgment to devise an effective individualized treatment plan that will restore the patient’s foot or ankle health and function, improving their overall quality of life.