Achilles tendon rupture surgery may be considered for patients with a torn Achilles tendon, depending on the nature of the injury and individual factors. The aim of surgery is to repair the tendon and restore strength and function.

Mr Edward Dawe is a Consultant Foot & Ankle Surgeon specialising in the treatment of Achilles tendon rupture, offering both surgical and non-surgical management where appropriate. Clinics are available in Chichester, Worthing and Haywards Heath.

When is surgery considered?

Many Achilles tendon ruptures can be treated without surgery. Surgical treatment may be considered depending on the pattern of the rupture, the timing of presentation and individual patient goals.

The decision between surgical and non-surgical treatment is made following specialist assessment and discussion.

Types of Achilles tendon rupture surgery

Surgical techniques may include open or minimally invasive repair of the tendon.

  • Open repair of the Achilles tendon
  • Minimally invasive repair techniques
  • Use of modern fixation methods where appropriate

In some cases, specific repair constructs may be used depending on the pattern of injury and individual factors. An example of a mid-substance repair technique can be seen here:

Achilles mid-substance SpeedBridge surgical technique (Arthrex)

The most appropriate technique depends on the nature of the rupture and individual patient factors.

Minimally invasive and modern techniques

Minimally invasive techniques may be used in selected cases to reduce soft tissue disruption. In some cases, modern repair constructs may be used as part of the surgical repair.

The choice of technique is guided by the specific injury and overall treatment plan.

Chronic and complex Achilles tendon injuries

In some cases, Achilles tendon injuries may present late, may not have been diagnosed at the time of injury or may not have improved with initial treatment.

These more complex cases may require different surgical approaches depending on the pattern of tendon damage and individual patient factors.

Procedures may include reconstruction techniques such as mid-substance repair or tendon transfer procedures, including arthroscopic-assisted flexor hallucis longus (FHL) tendon transfer in selected cases.

The choice of treatment is guided by the condition of the tendon, the time since injury and patient-specific factors.

Recovery after Achilles tendon rupture surgery

Recovery following surgical repair is gradual and usually involves a structured rehabilitation programme.

This typically includes a period of immobilisation followed by progressive weight-bearing and physiotherapy. The exact timeline varies between individuals.

Risks and considerations

As with all surgical procedures, there are risks associated with Achilles tendon rupture surgery. These are discussed as part of the decision-making process.

Non-surgical treatment remains an appropriate option for many patients, and the benefits and risks of each approach are considered on an individual basis.

When to seek specialist advice

If you have sustained a suspected Achilles tendon rupture, early assessment is important to guide treatment and optimise recovery.

Frequently asked questions

Do all Achilles tendon ruptures need surgery?
No, many Achilles tendon ruptures can be treated successfully without surgery. The choice of treatment depends on the nature of the injury and individual factors.
What is the benefit of surgery?
Surgery aims to repair the tendon and restore strength and function. The potential benefits and risks are considered on an individual basis.
Are minimally invasive techniques available?
Minimally invasive repair techniques may be used in selected cases depending on the nature of the rupture.
How long does recovery take?
Recovery involves several months of rehabilitation, with timelines varying depending on the individual and treatment approach.