Achilles Tendon Tear: Surgical Treatment Options

Here’s a clear breakdown of Achilles tendon tear surgical treatment options.

1. Open Achilles Tendon Repair - A single large incision is made at the back of the ankle, and the torn tendon ends are stitched together. Direct visualization allows precise repair.
2. Minimally Invasive (Percutaneous) Repair - Several small incisions are made, and special instruments are used to stitch the tendon. Smaller scars, less risk of wound problems, quicker recovery.
3. Arthroscopy-Assisted Repair - Surgeons use a camera (arthroscope) and small tools inserted through tiny incisions to guide tendon repair. Minimally invasive, reduced tissue trauma, faster rehab.
4. Tendon Transfer / Augmentation - If the Achilles tendon is badly damaged, tissue from another tendon (often the flexor hallucis longus) is used to reinforce or replace it. Restores strength when the original tendon cannot be repaired.
5. Synthetic or Biological Grafts - Artificial grafts or donor tissue (allograft) are used to bridge large gaps. Useful when native tissue is insufficient.

Post-Surgery Care: Immobilization in a boot or cast (usually 2–6 weeks). Gradual weight-bearing with physical therapy. Full recovery often takes 6–12 months.

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