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Achilles Tendon Repair


Achilles tendon repair is surgery to fix your damaged Achilles tendon. The Achilles tendon connects your calf muscle to your heel bone.


Before your surgery:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.
  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.
  • Anesthesia is medicine to make you comfortable during the surgery. Caregivers will work with you to decide which anesthesia is best for you.
    • General anesthesia will keep you asleep and free from pain during surgery. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.
    • Local anesthesia is a shot of medicine put into your leg. It is used to numb the area and dull the pain. You may still feel pressure or pushing during surgery.

During your surgery:

An incision will be made over your Achilles tendon. Caregivers will reattach the torn tendon by stitching the ends back together. A graft may be used if the tear is large. A graft is another piece of tendon or artificial material. The incision is closed with stitches and wrapped with a bandage.

After your surgery:

You will be taken to a room to rest until you are fully awake. Caregivers will monitor you closely for any problems. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be able to go home or be taken to your hospital room.

  • A cast may be needed for 2 months or more. Do not move or put weight on your foot until your caregiver tells you it is okay.
  • A physical therapist teaches you exercises to help improve movement and strength, and to decrease pain.
  • Use support devices as directed. You may need crutches or a cane for support when you walk. These devices help decrease stress and pressure on your tendon. Your caregiver will tell you how much weight you can put on your leg. Ask for more information about how to use crutches or a cane correctly.
  • Medicines:
    • Pain medicines will decrease pain and swelling.
    • Antinausea medicine helps calm your stomach and control vomiting.


You could get an infection or bleed more than expected. Your blood vessels, nerves, and other parts or your tendon may be damaged. Your ankle may not go back to the way it was before surgery. Without treatment, your pain and trouble walking will get worse. You may not be able to move your foot and will have trouble with your usual activities.


You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.