Our Summary

This research paper discusses a new surgical method for treating Achilles tendon ruptures, a type of injury that is becoming more common in athletes and can significantly reduce their quality of life if not properly treated. The authors mention several surgical procedures to treat this injury, including open surgery with a specific type of suture, minimally invasive surgery, and a procedure involving a small incision and a device to pass sutures. Recently, a new technique has been developed that requires a smaller incision and does not require knots to be tied in the sutures. This method, called the Achilles Midsubstance SpeedBridge, is designed to minimize damage to the soft tissue, restore the normal length of the muscle and tendon, and attach the tendon directly to the bone. This allows for the patient to start moving sooner after surgery and recover more quickly. The authors discuss when this technique should and shouldn’t be used, how it’s performed, and things to be aware of during the procedure.

FAQs

  1. What are the different surgical techniques for treating Achilles ruptures?
  2. What is the goal of the limited-incision knotless Achilles tendon repair technique?
  3. What are some potential complications of Achilles tendon repair surgeries?

Doctor’s Tip

One helpful tip a doctor might tell a patient about tendon repair is to follow the post-operative rehabilitation plan closely and do not push yourself too hard too quickly. It is important to give the tendon time to heal and strengthen gradually in order to prevent re-injury. Make sure to attend all follow-up appointments with your healthcare provider and discuss any concerns or questions you may have about your recovery.

Suitable For

Patients who are typically recommended tendon repair include those with acute midsubstance Achilles tendon ruptures, particularly athletes who require optimal functional outcomes to return to their sport. These patients may experience significant functional limitations and decreased quality of life if not managed appropriately. Additionally, patients who have not responded well to conservative treatments or who have chronic Achilles tendon issues may also be candidates for tendon repair. It is important for patients to be medically stable and able to tolerate surgery and the postoperative rehabilitation process.

Timeline

  • Before tendon repair: The patient typically experiences sudden pain and a snapping or popping sensation in the back of the ankle or calf, often during physical activity. There may be swelling, bruising, and difficulty walking or standing on the affected leg. The patient may seek medical attention and undergo imaging studies to confirm the diagnosis of an Achilles tendon rupture.

  • After tendon repair: Following surgery, the patient will undergo a period of immobilization and physical therapy to help restore strength and flexibility in the repaired tendon. The patient may experience pain, swelling, and stiffness in the early postoperative period, but these symptoms should gradually improve as healing progresses. With proper rehabilitation, the patient can expect to regain functional use of the affected leg and return to normal activities within a few months.

What to Ask Your Doctor

  1. What type of surgical technique will be used for my tendon repair (open repair, percutaneous repair, limited-incision repair)?
  2. What are the potential risks and complications associated with tendon repair surgery?
  3. How long is the expected recovery time after tendon repair surgery?
  4. Will physical therapy be necessary after surgery, and if so, for how long?
  5. What are the expected outcomes and long-term effects of tendon repair surgery?
  6. How soon can I return to my normal activities, including sports and exercise, after surgery?
  7. Are there any specific precautions or restrictions I should follow during the recovery period?
  8. Will I need any additional follow-up appointments or monitoring after surgery?
  9. What are the success rates of the chosen surgical technique for tendon repair?
  10. Are there any alternative treatments or non-surgical options that should be considered for my condition?

Reference

Authors: Hsu AR. Journal: Am J Orthop (Belle Mead NJ). 2016 Nov/Dec;45(7):E487-E492. PMID: 28005121