Achilles tendon rupture

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Treatments and drugs

By Mayo Clinic staff

Surgery
Surgery is a common treatment for a complete rupture of the Achilles tendon. The procedure generally involves making an incision in the back of your lower leg and stitching the torn tendon together. Depending on the condition of the torn tissue, the repair may be reinforced with other tendons. Afterward, you'll need to spend about six to eight weeks with your leg in a walking boot, cast, brace or splint.

Nonsurgical treatment
This approach typically involves wearing a cast or walking boot, which allows the ends of your torn tendon to reattach themselves on their own. This method can be effective, and it avoids the risks, such as infection, associated with surgery. However, the likelihood of re-rupture is higher with a nonsurgical approach, and recovery can take longer. If re-rupture occurs, surgical repair may be more difficult.

Rehabilitation
After treatment, whether surgical or nonsurgical, you'll go through a rehabilitation program involving physical therapy exercises to strengthen your leg muscles and Achilles tendon. Most people return to their former level of activity within four to six months.

References
  1. Ham P, et al. Achilles tendinopathy and tendon rupture. http://www.uptodate.com/home/index.html. Accessed June 19, 2009.
  2. Mercier LR. Achilles tendon rupture. In: Ferri FF. Ferri's Clinical Advisor 2009. Philadelphia, Pa.; Mosby Elsevier: 2009. http://www.mdconsult.com/das/book/body/144262599-3/854154771/1701/15.html#4-u1.0-B978-0-323-04134-8..50004-5--subchapter10_244. Accessed June 19, 2009.
  3. Achilles tendon rupture. In: DeLee JC, et al. DeLee and Drez's Orthopaedic Sports Medicine. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2003. http://www.mdconsult.com/das/book/body/144262599-3/854154771/1103/1152.html#4-u1.0-B0-7216-8845-4..50032-6--cesec351_4702. Accessed June 19, 2009.
  4. Laskowsi ER (expert opinion). Mayo Clinic, Rochester, Minn. June 22, 2009.

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Sept. 26, 2009

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