BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuAchilles tendon repairAchilles tendon rupture - surgery; Percutaneous Achilles tendon rupture repairYour Achilles tendon joins your calf muscle to your heel. You can tear your Achilles tendon if you land hard on your heel during sports, from a jump, when accelerating, or when stepping into a hole. Surgery to repair the Achilles tendon is done if your Achilles tendon has a complete tear. Description To fix your torn Achilles tendon, the surgeon will:Make a cut down the back of your heel Make several small cuts rather than one large cutAfter that, the surgeon will:Bring the ends of your tendon together Sew the ends together Stitch the wound closed Why the Procedure Is Performed Before surgery is considered, you and your health care provider will talk about ways to take care of your Achilles tendon rupture.Take care of your Achilles tendon ruptu...The Achilles tendon connects your calf muscles to your heel bone. Together, they help you push your heel off the ground and go up on your toes. You...Read Article Now Book Mark Article You may need this surgery if your Achilles tendon has torn and separated.You need your Achilles tendon to point your toes and push off your foot when walking. If your Achilles tendon is not fixed, you can have problems walking up stairs or rising up on your toes. However, studies have shown that Achilles tendon tears can be treated without surgery and have similar outcomes. Talk to your provider about which course of treatment is best for you. Risks Risks from anesthesia and surgery are:Breathing problems Reactions to medicines Bleeding or infectionPossible problems from Achilles tendon repair are:Damage to nerves in the foot Foot swelling Problems with blood flow to the foot Wound healing problems, which may require more surgeries Scaring of the Achilles tendon Blood clot or deep vein thrombosis Some loss of calf muscle strengthThere is a small chance that your Achilles tendon could tear again. About 5 out of 100 people will have their Achilles tendon tear again. Before the Procedure Always tell your provider:If you could be pregnant What medicines you are taking, including medicines, herbs, or supplements you bought without a prescription If you have been drinking a lot of alcoholDuring the days before the surgery:You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and any other medicines that make it hard for your blood to clot. Ask your provider which medicines you should still take on the day of the surgery. If you smoke, try to stop. Ask your provider for help quitting. You should elevate your ankle to decrease swelling.On the day of the surgery:You will probably be asked not to drink or eat anything for several hours before the surgery. Take the medicines your provider told you to take with a small sip of water. Your provider will tell you when to arrive. After the Procedure Work with your provider to keep your pain in control. Your heel may be very sore.You will be wearing a cast or splint for a period of time.Many people can be discharged the same day of the surgery. Some people may require a short stay in the hospital.Keep your leg elevated for as much as possible during the first 2 weeks to reduce swelling and promote wound healing. Outlook (Prognosis) You will be able to resume full activity in about 6 months. Expect full recovery to take about 9 months.Open ReferencesReferencesAzar FM. Traumatic disorders. In: Azar FM, Beaty JH, eds. Campbell's Operative Orthopaedics. 14th ed. Philadelphia, PA: Elsevier; 2021:chap 48.Irwin TA. Tendon injuries of the foot and ankle. In: Miller MD, Thompson SR, eds. DeLee, Drez, & Miller's Orthopaedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier; 2020:chap 118.Jasko JJ, Brotzman SB, Giangarra CE. Achilles tendon rupture. In: Giangarra CE, Manske RC, eds. Clinical Orthopaedic Rehabilitation: A Team Approach. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 45.AllVideoImagesTogSelf Care Achilles tendon rupture - aftercareRelated Information Review Date: 7/28/2021 Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- © 1997- All rights reserved. A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.Content is best viewed in IE9 or above, Firefox and Google Chrome browser.