What is Achilles Insertion Reconstruction?
Achilles insertion reconstruction is performed most commonly for painful insertional Achilles tendinopathy. The tendon is released from the heel bone, the diseased tendon end and bony spurs are resected. The Achilles is then reattached to the heel bone. Often calf muscle lengthening is required.
When is it Recommended?
Surgical treatment is recommended for persistent pain in the back of the heel which has not responded to non-surgical treatment such as heel lifts or physiotherapy.
What Does the Process Involve?
You will be admitted on the day of surgery. A general anaesthetic and possibly nerve blocks are usually required. Following surgery you will be in a cast and will stay in hospital for a minimum of 2 nights with your leg elevated. Following this our physiotherapist will help you to mobilise without putting weight on the foot and once you can do this safely you may go home.
How Long Does it Take to Recover?
You will have your sutures removed after 2 weeks. You will then go into a CAM boot, commence physiotherapy and gradually increase the amount of weight you apply to the foot. You will start walking without the boot 8 weeks following surgery. It may take 12 months to reach maximal improvement.
Is Physiotherapy Required?
Yes. A structured physiotherapy program will commence 2 weeks following surgery.
What are the Risks?
Potential risks include but are not limited to infection, blood clots in the legs, injury to nerves and blood vessels, wound breakdown, tendon rupture and recurrence of spurs.