Achilles tendon repair

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Achilles tendon repair

Controversy re surgical or conservative repair of achilles tendon rupture.

Acute rupture:

• Prone- medial to tendon (to avoid sural nerve)- above and below tear for 7cm  incise parameter  sutures in each part  tied

Post-op- plantarflexed splint; 10 days post-op- ROM exercises; brace with heel raise; weight bearing at 5 weeks; strengthening at 6-8 weeks; return to sports- 9 months

Complications- re-rupture; infection; sural nerve damage

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