Achilles tendon repair-open technique
Subscribe to get full access to this operation and the extensive Foot Surgery Atlas.
Learn the Achilles tendon repair-open technique 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 repair-open technique surgical procedure.
A surgical repair of the Achilles tendon is required in the active patient in whom the tendon ends are demonstrated not to be in adequate apposition(under ultrasound imaging) when the ankle is placed into full equinus.
Another indication for surgical repair of the ruptured Achilles tendon is a delayed presenting Achilles rupture, irrespective of how well tendon ends appose. The definition of delayed here is open to interpretation though numbers in weeks. In this scenario the repair may need to by augmented by some form of tendon transfer. One example if the Flexor Hallucis tendon transfer which can be read on Achilles Reconstruction :Flexor Hallucis Longus tendon transfer using Arthrex Biotenodesis screw . Apart from these situations most cases are open to debate.
Recognition has increased over recent years that these injuries are associated with an increased risk of DVT, so appropriate prophylaxis should be used and calf symptoms investigated aggressively.
Operative alternatives to the open technique are percutaneous repairs using purpose designed jigs such as the Integra Achillon which is detailed at Integra Achillon to repair Achilles rupture
Author:Mark Herron FRCS.
Institution: The Wellington Hospital, London,UK.
- Please ensure you have read the all the information for this operation before starting the test.
- Each question has four possible answers of which one is correct.
- You will need to answer all questions before they are marked.
- You do not need to spend a minimum time on any question.
- You need to answer all questions before you can submit the paper.
It is strongly advised you go over the operation content, click below to do so: