Achilles tendon debridement Surgical Technique
Subscribe to get full access to this operation and the extensive Foot Surgery Atlas.
Learn the Achilles tendon debridement surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Achilles tendon debridement surgical procedure.
The indication for an Achilles tendon debridement is painful Achilles tendinosis which has failed to respond to conservative managements.
These conservative managements including tried and tested physiotherapy regimens , orthotic off loading and injection therapies can be expected to work in 70% of patients , irrespective of the extent (and often nature) of the Achilles involvement. Shock wave therapy also has a role though is less effective than these interventions.
A debridement can be expected to work in 90% of patients with a return to limited weight-bearing after 2 weeks using a post-operative boot. Light treadmill running maybe achievable from 10-12 weeks .
Author: Mark Herron FRCS
Institution: The Wellington Hospital , London