Achilles’ tendon injury and how to fix it

What is the cause of Achilles’ tendon tear?

The Achilles’ tendon also called common calcaneal tendon can be injured from traumatic or degenerative changes of the tendon itself. The most common cause of tendon tear is traumatic, which includes (lacerations, pulling, and stretching), and less likely degenerative in nature, seen in Dobermans and Retrievers.

What are the signs of Achilles’s tendon tear?

The most common sign of Achilles’ tendon injury is flat footed gait or also described as dropped foot stance.

How is Achilles’ tendon tear diagnosed?

The best test, to diagnose Achilles’ tendon tear is an accurate physical exam. The severed tendon can be palpated and the abnormal gait can also noted. Additional tests required to confirm the diagnosis are radiographs and ultrasound.

How is the Achilles’ tendon tear repaired?

The best treatment for Achilles’s tendon tear is surgery

The goal of the surgical repair is to reattach the ends of the severed tendon with specific suture patterns. After the reattachment is achieved the leg is immobilized to prevent failure of the tendon repair. The tendon should be protected for 8 to 12 weeks.

Can stem cell or platelet rich plasma used for tendon healing?

Yes, in human patient to speed up the healing phase of the tendon Platelet Rich Plasma (PRP), and stem cell are used

What is the aftercare post op Achilles’ tendon repair?

Activity restriction for 8 to 12 weeks is very important to allow the tendon to heal. It also important to follow up with the bandage changes, and monitor the incisions to ensure proper healing. If the recovery is nor followed correctly, a failure of the repair will occur and additional surgeries will be necessary.

What is the prognosis with Achilles’ tendon repair?

Excellent results are seen with full return to function in the majority of the patients.