Surgery usually is not
needed to treat
Achilles tendinopathy. But in rare cases, someone
might consider surgery when rubbing between the tendon and the tissue covering
the tendon (tendon sheath) causes the sheath to become thick and fibrous.
Surgery can be done to remove the fibrous tissue and repair any small tendon
tears. This may also help prevent an Achilles tendon
Achilles tendon rupture
Surgery is often used to
reattach the ends of a ruptured Achilles tendon. It provides a better chance of
preventing the tendon from rupturing again compared to using a cast, splint,
brace, walking boot, or other device that will keep your lower leg from moving
The results of surgery for an Achilles tendon rupture are best when you
have the surgery soon after your injury. Recovering from surgery may take
months, and it requires a
rehabilitation (rehab) program to help heal and strengthen the
Surgery for an Achilles tendon rupture
can be open or percutaneous.
- In open surgery, the surgeon makes a single
large incision in the back of the leg and stitches the torn tendon back
- In percutaneous surgery, the surgeon makes several small
incisions (rather than one large incision) and stitches the torn tendon back
What To Think About
The differences in age and
activity levels of participants can make it difficult to determine if Achilles
tendon surgery is effective. The success of your surgery can depend on your
surgeon's experience, the type of surgical procedure used, the extent of tendon
damage, how soon after rupture the surgery is done, how soon your
rehab program starts after surgery, and how
well you follow your rehab program.
Talk to your surgeon about his or her surgical
experience and success rate with the technique that would best treat your
Achilles Tendon Rupture: Should I Have Surgery?