Chronic Achilles Tendon Rupture

When an Achilles tendon rupture is not repaired, it can become a chronic problem which is termed “A Chronic Achilles Tendon Rupture”. The tears keep recurring upon any use of the foot, so even the mildest form of activity such as walking can produce pain and inflammation.

Once an Achilles tendon injury has become chronic, it generally requires surgery to reattach the tendon and allow the patient to resume normal foot function. Until surgery is performed, patients will likely continue to suffer from persistent discomfort.

Diagnoses is generally made based on the surgeons history and physical exam. An MRI (Magnetic Resonance Imaging) may be ordered to aid in preoperative planning or to confirm the diagnosis.

During the Achilles tendon repair procedure, an incision is made along the back of the ankle to access the tendon. The torn ends are then reattached using strong sutures that are placed on both ends. The sutures are tied together and the incision is then closed. Chronic Achilles tendon ruptures can present unique challenges to the surgeon and may require augmentation with a graft for a successful outcome.

After surgery, patients will need to undergo six to eight weeks of physical therapy while the foot heals in a walking boot or cast. The foot may be positioned differently within the cast as healing progresses to maximize movement.