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Foot/Ankle Presentation: Achilles Tendon Repair

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by

Shannon Wright

on 12 October 2016

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Transcript of Foot/Ankle Presentation: Achilles Tendon Repair

Etiology: Complete Rupture of Achilles Tendon
MOI: Sudden plantarflexion
S/S:
Pain in posterior, distal calf.
Swelling and Discoloration
Unable to actively plantarflex
Feeling of getting kicked in heel.
+ Thompson test
Palpable and (Potentially) Visual Deformity
Thank You!
Achilles Tendon Rupture Repair
Why is this surgery needed?
Regain tendon function
Weight bearing
Reconnect calf muscles with the calcaneus
Push off strength
ADLs, Sport, Work, etc.
What are the goals of this surgery?
Reduce pain, swelling, & spasm.
Re-establish pre-injury function.
Restore tendon connection.
What is done during this surgery?
PARS
Multiple smaller incisions
Uses torn fibers
Post-operative Rehabilitation Protocols
Contraindications:
Inc pn & swelling past 1 week.
Unable to wB after 12 weeks.
Precautions:
NWB 6-12 weeks.
No intense active plantarflex or passive dorsiflexion
Infection at incision site.
Expected timeline for RTP
4-6 months.
Foot/Ankle Presentation: Achilles Tendon Repair
Open
One long incision
Cadaver tendon or Piece of Gastroc
Flat feet
History of
Weak Calf Muscles
Inadequate Warm up
Repeated Steroid Injections
Poor fittiing shoes
Jogging on hard surfaces
"Weekend Warrior"
Predisposition to Achilles Tendon Rupture
References
" Achilles Tendon Rupture Surgery." Achilles Tendon Rupture Surgery. American Orthopaedic Foot & Ankle Society, n.d. Web. 01 Oct. 2016.

Bhimji, Steven S. "Achilles Tendon Rupture." Medicine Net. N.p., 19 Feb. 2016. Web. 1 Oct. 2016.

@iwalkfree. "Achilles Tendon Rupture Surgery, Achilles Tendon Tear Injury Repair." IWALK Free. N.p., n.d. Web. 01 Oct. 2016.

Saglimbeni, Anthony J. "Achilles Tendon Injuries." : Practice Essentials, Background, Anatomy. Web MD LLC, 2016. Web. 06 Oct. 2016.
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