Achilles tendon debridement Surgical Technique


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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


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