What Is Achilles Reconstruction?
Achilles reconstruction is a surgical procedure used to repair or rebuild a severely damaged or chronically torn Achilles tendon—the thick band of tissue that connects the calf muscles to the heel bone. This procedure is often necessary when the tendon is too degenerated or retracted to heal on its own or with a simple repair.
When Is Achilles Reconstruction Recommended?
Achilles reconstruction may be recommended in the following cases:
- Chronic Achilles tendon tears or ruptures
- Failed previous Achilles repair
- Severe tendon degeneration due to tendinopathy
- Loss of tendon length or function
- High-level athletes or active individuals requiring optimal strength and mobility
How Is Achilles Reconstruction Performed?
The surgery is typically done under regional or general anesthesia. An incision is made along the back of the ankle to expose the damaged tendon. Depending on the severity, the surgeon may:
- Remove degenerated tissue
- Reattach the tendon ends using strong sutures
- Use a tendon graft (e.g., from the flexor hallucis longus) to reinforce or replace the damaged tendon
- Anchor the tendon to the heel bone if needed
The procedure may vary depending on whether it’s an acute rupture or a chronic, neglected case.
Recovery After Achilles Reconstruction
Initial recovery includes immobilization in a cast or boot for several weeks. Gradual weight-bearing and physical therapy follow, focusing on restoring flexibility, strength, and gait. Full recovery typically takes 6 to 12 months, with return to high-impact sports depending on individual progress.
Risks of Achilles Reconstruction
Possible risks include:
- Infection
- Nerve injury
- Tendon re-rupture
- Scar tissue formation
- Limited ankle mobility
Benefits of Achilles Reconstruction
Benefits of the procedure include:
- Restored tendon function and strength
- Improved mobility and performance
- Reduced pain and inflammation
- Decreased risk of further tendon damage
