Surgery for an acute or chronic rupture of the Achilles tendon typically occurs in an outpatient setting. Together, they help you push your heel off the ground and go up on your toes. ), you are welcome to post your experiences and start a blog here. Surgery is the most common treatment for Achilles tendon rupture. 2017. The achilles tendon is the largest and strongest tendon in the body but it is prone to damage by overuse, inflammation and degeneration. Most cases of Achilles tendonitis/tendonosis will respond well to conservative treatments, however, surgery will be needed in some cases (especially with a full Achilles tendon rupture). Achilles tendon rupture - aftercare. Ankle Surgery. Another type of Achilles rupture is a heel rupture. In percutaneous surgery, the surgeon makes several small incisions rather than one large one. With surgery, 5 out of 100 will rupture the tendon again within 1 to 2 years. In this scenario, the tendon is either torn away from the heel bone or is detached along with a fragment of the bone itself. ; Prior tendon inflammation or irritation can predispose one to Achilles rupture. Achilles tendon repair surgery is a type of surgery to fix a damaged Achilles tendon. It can be done with one large incision (open surgery) or many smaller incisions (percutaneous surgery). - operation on the 7th (wire through a hole drilled in the heel bone attached to the upper end of the tendon… Epub 2007 Mar 3. Normal complication of anesthesia and surgery Risk of repeat Achilles tendon rupture, with the risk of around 3% to 4%. Zuzana Hejnova, a two-time world champion in the 400-meter hurdles, won't compete in the Tokyo Olympics due to an Achilles tendon injury, she said Thursday. Achilles tendon injuries occur more often during sports that involve running, jumping, and sudden starts and stops — such as soccer, basketball and tennis. As with any muscle or tendon in the body, the Achilles tendon can be torn if there is a high PHASE I (surgery to 2 weeks after surgery) Appointments • Rehabilitation appointments begin 14-16 days after surgery Rehabilitation Goals • Protection of the surgically repaired tendon You may have had one of two types of surgery. It connects the muscles of your calf to your heel. It reattaches the torn ends of the tendon. The Achilles tendon is commonly referred to as the ‘heel cord’ and is the thick strap that can be felt running down the back of the calf into the heel. The Achilles tendon, known medically as the calcaneal tendon, is a dense cord of fibrous tissues that connect the calf muscles to the heel bone. 16) In a 2012 meta-analysis by Soroceanu et al., 10) the mean age at the time of injury among 826 patients with an acute Achilles tendon rupture … The peak age for Achilles tendon rupture is 30 to 40. Achilles tendon repair rehab protocol Below we outline the steps that we have our patients take to recover from a percutaneous Achilles tendon repair surgery. Due to the lack of treatment guidelines, there is no consensus about diagnostic methods, primary treatment (non-surgical or surgical) and rehabilitation. Achilles tendon repair surgery is a type of surgery to fix a damaged Achilles tendon. Surgery is the most common treatment for Achilles tendon rupture. It most commonly occurs around the shoulder (rotator cuff tendinitis, biceps tendinitis), elbow (tennis elbow, golfer's elbow), wrist, hip, knee (jumper's knee, popliteus tendinopathy), or ankle (Achilles tendinitis). ACL Surgery Recovery Time. The recovery period is long and requires diligent rehabilitation to restore foot and ankle motion and tendon strength. You will then be put to sleep and placed in a position that gives the surgeon access to the ruptured tendon. 2 out of 12 players failed to return to playing in the elite professional league following an Achilles Tendon Rupture, others returned after a mean recovery time of 10 months. Most patients who are athletes do not return to their sport for about 6 months, and many can take longer to fully recover from Achilles surgery. The Achilles tendon is the strong fibrous cord that connects the two large muscles in the back of your calf to your heel bone. An Achilles tendon rupture is usually treated with surgery or with a cast, splint, brace, or other device that will keep your lower leg and ankle from moving ( immobilization). 2016. This requires significantly more time to heal. Your PRO~PT physical therapist will develop a comprehensive rehab program to get you back to your sport without pain as quickly as possible. The angle will gradually be adjusted over time until your foot is in a neutral position, a phase of your recovery when you can’t put any weight on your injured foot at all. In cases of a completely torn Achilles tendon, then surgery is recommended to fix the tendon. It reattaches the torn ends of the tendon. At first, the cast or boot will keep your toes pointed downward as the tendon heals. Often this type of injury requires surgery. Durant faces a long road back in his recovery. He is expected to miss the entire 2019-20 season, although some team will surely pay him tens of millions of dollars while he recuperates. An Achilles tendon rupture can be caused by a sudden traumatic event such as a fall or anything that causes a sudden and extreme flexion of the hock (aka the ankle joint). Watch later. Recovery is often 3 months to get back to normal adls and 9=15 months to get back to athletic activities. From the way you walk to the way your house is being maintained, even the smallest details could prove to be of great importance during Achilles tendon recovery. If the swelling isn't too severe, you may be able to see a divot or gap where the tear in the tendon is located. Then, the surgeon will close the incision with sutures. Read more on diagnosing calf strains Cast removal. This could be due to specific medical conditions e.g. Your tendon will slowly get stronger as you recover. Diagnosis and treatment of Achilles tendon rupture. Some weakness usually continues for around a year after injury but most patients return to most or all of their activities well before that. Usually, this results in a popping sound, then pain and inflammation. Exercises for Achilles tendon conditions — The Achilles tendon can rupture or sprain, leaving a patient in need of a pool protocol to help promote healing time post-surgery (or post-injury if surgery is not needed.) This type of surgery was less invasive and the recovery time was much faster. It serves as my own reminder of the physical recovery and an aid in my emotional ups and downs from this devastating injury. I also hope all of my first-hand experiences can help others who are going through the same injury. Operative Techniques in Sports Medicine. Kevin Durant’s Timeline for Recovery From Ruptured Achilles. Achilles tendon ruptures typically cause immediate sharp pain and difficulty walking properly, as well as, sometimes, a popping sound at the moment of rupture… Turns out I have a complete tear of my Achilles tendon. If your Achilles tendon stretches too far, it can tear or rupture. You may learn more about how The Stone Clinic repairs Achilles tendon ruptures without open surgery in our explanation of Achilles tendon injury, diagnosis and treatment. Failed Achilles Tendon. In open surgery, the doctor makes a cut (incision) at the back of your leg. Accelerated rehabilitation following Achilles tendon repair after acute rupture –Development of an evidence-based treatment protocol. It reattaches the torn ends of the tendon. A heel lift will be put in the shoe to prevent the excessive stretching of the tendon. Wound problems such as nonhealing incisions or infection can occur. Debridement and repair — This operation removes the damaged portion of the Achilles tendon and is usually only for tendons with less than 50% damage. Yup, that’s about a year, and these players are young, with a mean age of 28. In percutaneous (say "per-kyoo-TAY-nee-us") surgery, the doctor uses several smaller cuts. Sex. The boot could come off during this time, too. Conclusion The doctor Tendinopathy, also known as tendinitis or tendonitis, is a type of tendon disorder that results in pain, swelling, and impaired function. ), you are welcome to post your experiences and start a blog here. Achilles tendon rupture accounts for 20% of all large tendon ruptures. Achilles tendon rupture is up to five times more likely to occur in men than in women. This is called a nerve block. 25:214-219. Achilles Tendon Rupture Recovery Time After either form of Achilles tendon ruptures surgery; You’ll most likely wear a cast or walking boot for 6 to 12 weeks. Your Recovery. You may learn more about how The Stone Clinic repairs Achilles tendon ruptures without open surgery in our explanation of Achilles tendon injury, diagnosis and treatment. In general, most patients return to walking in 4-6 weeks, strengthening after about 8 weeks, and exercising at 3 months. Calf muscle strains are graded from 1 to 3, with grade 3 being the most severe. A decrease in recovery time between activity. This means you will have surgery and go home the same day. Achilles tendonitis treatment aims to reduce the pain, inflammation and stiffness so commonly associated with achilles tendonitis. Mechanisms of Injury. It reattaches the torn ends of the tendon. If the tear is significant, the surgeon might remove a small piece of tendon from elsewhere in your foot and use it to replace a portion of the Achilles tendon. This is usually due to a sudden and strong force on the tendon, which can happen when you jump, pivot on your foot, or move too quickly. 2007 May63(5):499-503. Zuzana Hejnova, a two-time world champion in the 400-meter hurdles, won't compete in the Tokyo Olympics due to an Achilles tendon injury, she said Thursday. Kevin Durant revealed he had surgery on his ruptured Achilles tendon Wednesday.. Now comes the hard part. An Achilles tendon rupture is pretty much the worst sports injury that you can completely recover from. Numbing medicine is placed into the leg around the nerves to help decrease pain after surgery. Full recovery from Achilles tendinitis can take anywhere from three months to a year, depending on the injury’s severity. However, the Achilles tendon has a high risk for psychosocial influences like anxiety and depression. Rupture may occur over time due to extreme overstretching and overuse, causing the tendon to deteriorate and eventually tear. Here is my recovery story upto this day. Br J Sports Med. Direct repair surgery is commonly done soon after the rupture. True rupture of the Achilles tendon was first described by Ambroise Pare in 1575 and first reported in the medical literature in 1633. In percutaneous (say "per-kyoo-TAY-nee-us") surgery, the doctor uses several smaller cuts. What is Achilles tendon repair surgery? Physical Therapy continued until the patient could perform normal activities. The severity of the tear factors into recovery time, as well as what kind of treatment you choose. The Achilles tendon is the largest tendon in the body. What is Achilles tendon repair surgery? Posted February 16, 2017. A first milestone during the early rehabilitation phase could be to perform at least 20 standardized seated heel-rises with a load of 50% of body weight (4). It’s generally considered to have a 1-year minimum recovery time, though the history of professional athletes who have returned after the injury isn’t very promising . Three days later I underwent surgery to repair it. The Achilles tendon is the largest tendon in the body. Rupture of the Achilles tendon: a new clinical test. Surgery is the most common treatment for Achilles tendon rupture. Repair of an acute rupture usually takes The poor vascularity in the main body of the Achilles tendon may play an important role in the pathogenesis of the rupture [34,35].In general, there are usually no warning symptoms, and the injury frequently occurs with a distinct ankle trauma. Undergoing Achilles tendon surgery, whether you have an open, percutaneous or mini-open procedure, can be a scary and challenging time for most. The typical age for rupture occurs between 30–40 years of age and is significantly more common in males than females. It helps you walk, run, and jump. Tendon elongation after an Achilles tendon rupture affects heel-rise height during a single-leg standing heel-rise. These injuries are quite common and often require surgery to repair. With conservative treatment, serial casting occurs. Eur J Clin Pharmacol. After surgery, the patient is kept in a cast for four to six weeks, This is followed by physical therapy and assisted range of motion exercises. Copy link. Steroid injections. Decrease in the range of motion of your Achilles tendon, which may require you to go with rehabilitation in order to get back to your full range of motion. If a rupture or tear occurs, operative and non-operative methods are available. My orthopedic surgeon at the time gave me basically only one option, open surgery. This protocol provides you with general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue tolerance and directional preference of movement. Achilles Tear. The results are immediate and absolutely devastating, and will render the patient immobile. The achilles tendon rupture recovery time without surgery is, for the most part, the same time as the achilles tendon rupture recovery time with surgery; The benefits of non-surgical treatment are reduced risks of going under the knife, and starting the exercise side of things faster. 2. The Achilles tendon is the largest tendon in the body. The typical Achilles tendon rupture usually happens 4 to 6 centimeters above the point where the tendon joins the heel bone. Direct Repair. It’s the largest tendon in your body. Recovery After Surgery Achilles surgery takes only about 30 minutes to an hour, and you’ll go home the same day. Achilles tendon repair reconnects the ends of the broken tendon so that you can use your foot again in a normal way. But it can take a long time.” Achilles rupture surgery options. You may be able to put weight on your affected leg after a few weeks. With a percutaneous Achilles tendon lengthening, specific complications are rare. As soon as your physician diagnosed that you have an Achilles tendon rupture, you will be presented to take surgery. However, it does not always require to be treated with surgery; there are other options to treating and repairing your Achilles tendon injury. If you suspect a grade 2 or 3 injury, we advise seeking professional advice. Achilles Tendon Rupture: This is when the entire tendon actually separates. Share. Recovery from achilles tendon ruptures takes the same amount of time for both surgical and non-surgical treatment. In percutaneous surgery, the surgeon makes several small incisions rather than one large one. The orthosis was worn for four weeks. Tendonitis is the most common cause of achilles heel pain. Recreational sports. The Achilles tendon is at the back of the heel and a rupture can affect about 1 in 15,000 people. This often results in an inability to lift the foot. 11:53AM: While an official recovery timeline won’t be known until after the surgery, MLB.com’s Mark Bowman (via Twitter) estimates that Soroka will be … Achilles Tendon Surgery Scar Care. The operative word is Recovery , and the site’s purpose is to make the recovery better. In most cases, you will be seen in the office for a couple of weeks after surgery. Due to the complexity of an Achilles injury, recovery is a slow and tenuous process. When the tendon recoils from its original attachment and remains there for a very long time, the surgery becomes harder, and the results of surgery are not as good. Recovery from Achilles tendon rupture How long it takes to recover from an Achilles tendon rupture is similar whether you have surgery or not. Return to play post-Achilles tendon rupture: a systematic review and meta-analysis of rate and measures of return to play. While regular functionality isn’t immediate, patients will be asked to move within 1-2 days after surgery. 12) The estimated incidence ranges from 11 to 37 per 100,000 population. Gavin Thow, 33, underwent a new technique with a speedier recovery time, as ADRIAN MONTI reports. The Achilles tendon is one of the most important tendons in the body, and it’s incredibly important to many of the mobility actions that people take for granted every day. When you begin your rehab program, it involves a gradual strengthening and conditioning of your tendon and the muscles surrounding it to make it strong and increase its flexibility. You can expect to be back to normal activities, including low-impact sports, within four to six months, whichever treatment you have. Let’s be honest, any surgery and recovery is difficult. Most of the time, surgical repair works well. Once Achilles tendonitis treatment is done and you get back home for Achilles tendon recovery, there are certain things that you should take care of, which might otherwise prove cumbersome.. Achilles Tendon Recovery Tips. In both types of surgery, the surgeon sews the tendon back together through...", "clinical": "There are two types of surgery to repair a ruptured Achilles tendon: In open surgery, the surgeon makes a single large incision in the back of the leg. Once the cast is removed, If you’re healing is progressing, you’re given a walking boot … I am at that year mark. Achilles Tendon Repair Post-op Rehabilitation Protocol . 16. Achilles tendon rupture surgery involves reattaching the torn ends of the tendon with stitches. At first, it may be set to keep your foot pointed downward as the tendon heals. After surgery, you will be put into a cast or removable cast boot. Treatment. The Achilles tendon can remain tight after surgery. Brumann, M., Baumbach, S. F., Mutschler, W., & Polzer, H. (2014). To identify the optimal time for an early surgical repair with favorable results, we evaluated the isokinetic muscle strength and clinical outc … 13,14,15) Men are 2 to 12 times more prone to Achilles tendon rupture than women. In open surgery, the doctor makes a cut (incision) at the back of your leg. Patients were given training in walking during this time. On the whole, it normally takes approximately 10-12 weeks to completely recover from a partially torn achilles tendon. It can be done with one large incision (open surgery) or many smaller incisions (percutaneous surgery). It can be done with one large incision (open surgery) or many smaller incisions (percutaneous surgery). Kuwada GT. Recovery from a torn Achilles varies from person to person. Achilles tendon rupture - Symptoms and causes - Mayo Clinic The Achilles tendon usually rupt ures without warning. Tendinitis or tendon rupture can occur within hours or days of starting Levofloxacin or as long as several months after completion of fluoroquinolone therapy. ... Road to Recovery. I did some research and discovered there was another option, PARS (percutaneous Achilles repair system). It also is possible for the Achilles tendon to rupture (tear) during surgery or recovery. Rehabilitation and return to play following achilles tendon repair. Recovery time from knee tendonitis surgery is 2 to 4 weeks and in this timespan your leg can usually bear about 50% of your body weight. I also hope all of my first-hand experiences can help others who are going through the same injury. The recovery time from a ruptured Achilles tendon depends mostly upon the extent of your injury. An acute Achilles tendon rupture is the most common tendon rupture of the lower extremities, yet the optimal timing for an early surgical repair is unclear. The first question has a simple but imprecise answer: it depends. Recovery After Surgery. Chronic Achilles Tendon Injury: An Overview. Here goes.… The Achilles tendon is a strong, fibrous cord in the lower leg. Conventionally, when surgery seems the best option, a long vertical incision is made along the lower calf area and the two severed ends of the tendon … Recovery time will depend on the amount of damage to the tendon tissue before surgery and if it is an acute injury or chronic (old, long lasting injury). Turns out I have a complete tear of my Achilles tendon. It can also occur if you trip or fall. Steroid injections. For some, it can take up to two years to get back to 100%. Posted on November 26, 2010 by admin. High performance athletes with a torn Achilles tendon are almost always treated with surgery to provide a stronger tendon that is less likely to re-rupture. Steroid injections. Ann R … Think about it. Achilles Tendonitis vs Achilles Tear. Just how long is hard to say right now, but by looking back at the recovery times of other players with similar injuries, we can get a better idea of when he might next be able to play in an NBA game. 12) The estimated incidence ranges from 11 to 37 per 100,000 population. What is the Achilles tendon? Chronic, long-lasting Achilles tendon disorders can range from overuse injuries to tearing of the tendon. This adverse reaction most frequently involves the Achilles tendon and has also been reported with the rotator cuff (the shoulder), the hand, the biceps, the thumb, and other tendon sites. The operative word is Recovery , and the site’s purpose is to make the recovery better. Achilles tendon rupture is up to five times more likely to occur in men than in women. Torn Achilles recovery time. The Achilles tendon is the strongest and thickest tendon in the human body, capable of supporting multiple times one’s own body weight. Every year, surgeons in the UK repair 10,000 ruptured Achilles tendons. In the setting of tendonitis or partial rupture, a treatment of platelet-rich-plasma (PRP) combined with use of a heel lift, soft tissue massage, and a careful physical therapy program can sometimes lead to complete healing without surgical intervention. During the physical exam, your doctor will inspect your lower leg for tenderness and swelling. May 31st, 2020. Achilles Tendon Injury Recovery – 10 Treatment Mistakes Leave a Comment / Injury Therapy / By Cryotherapy Health and Wellness Inc. Gastrocnemius recession — This surgery lengthens calf muscles in order to take additional stress off your Achilles tendon. The tendon may rupture on sudden tensing of the … The Achilles tendon is the largest tendon in your body. Forceful jumping or pivoting, or sudden accelerations of running, can overstretch the tendon and cause a tear. Achilles tendon rupture is up to five times more likely to occur in men than in women. The recovery time was six months to a year. Purpose of Achilles Tendon Repair Surgery . Older adults can also rupture the Achilles tendon and are more inclined to Background: Achilles tendon rupture (ATR) is a common sports injury, with a rising incidence and significant impairments. American Academy of Orthopaedic Surgeon, 18(8), 503-510. Achilles tendon repair rehab protocol Below we outline the steps that we have our patients take to recover from a percutaneous Achilles tendon repair surgery. The Achilles tendon is a strong, fibrous cord in the lower leg. GP-confirmed complete Achilles tendon rupture using pocket … Nonsurgical treatment starts with immobilizing your leg. Achilles Tendinitis: This results from prolonged activities such as walking or running that gradually inflame the tendon, resulting in pain and tightness. It can be done with one large incision (open surgery) or many smaller incisions (percutaneous surgery). • Direct trauma to the tendon. 50:1325-1332. Methods: A total of 266 patients with acute Achilles tendon rupture were divided into 4 groups (A, B, C, and D) according to immobilisation duration of 0, 2, 4, and 6 weeks, respectively. Before we get into the very serious business of making sure you can heal your ruptured Achilles tendon in the best way possible, I think we can all agree that if that statue is a faithful representation of Achilles, then we can better understand why he was eager to live fast and die young. Recreational sports. Info. This is my journal documenting the recovery from a ruptured Achilles tendon. The best treatment for acute Achilles tendon ruptures remains controversial. Ankle Injuries. ... Achilles tendon injuries. Clin Podiatr Med Surg. After a simple debridement surgery, it may take 6 weeks to return to normal activities of daily living (adls) and 3 months to return to athletic activity.The lengthiest return is from an achilles rupture repair. Most patients have made most of their recovery by around 5-6 months after injury. Complete recovery after Achilles tendon surgery takes more time, but with proper Achilles tendonitis treatment, you can be back to playing sports in a few months. It can endure great force, but it is still susceptible to injury. This means that 95 out of 100 will not. Sex. It connects your calf muscles to your heel bone and is used when you walk, run, climb stairs, jump, and stand on your tip toes. Causes of Achilles tear include injuries and major trauma. If surgery has been performed, aquatic therapy may … At the time you’re in your 30s or 40s you’ve likely experienced one of or all of the following: gotten … After any type of Achilles tendon tear surgery, you will likely wear a cast or walking boot, for six to 12 weeks. Contact one of our clinics today and let your road to recovery begin. The ARPwave System may be able to have you avoid surgery and help the tendon reattach itself. Oct 8, 2019 - The Achilles tendon is often injured. Most people with a quadriceps tendon rupture will have a swelling of the knee and your doctor will be able to feel the torn tendon just above the kneecap. Achilles tendon injuries occur more often during sports that involve running, jumping, and sudden starts and stops — such as soccer, basketball and tennis. Although the pain and the swelling may drastically reduce after around 3-6 weeks, complete healing can take several months. The Achilles tendon surgery recovery can take quite a long time. The Achilles tendon, which attaches the calf muscle to the heel, is the body's strongest tendon. Achilles Tendon Rupture || Weeks 2-3 || Surgery, Recovery, Tips & What I've Learned. 1995;12:633–52. 16) In a 2012 meta-analysis by Soroceanu et al., 10) the mean age at the time of injury among 826 patients with an acute Achilles tendon rupture … Achilles tendon reconstruction or replacement for tendinosis is often an open procedure. Martha Stewart Is In Recovery After ‘Three-Hour Operation’ To Repair Ruptured Achilles Tendon. Sex. In general, younger and more active people, particularly athletes, tend to choose surgery to repair a completely ruptured Achilles tendon, while older people are more likely to opt for nonsurgical treatment. You might consider having Achilles tendon repair surgery if you have had a total or partial Achilles tendon tear or rupture. Did a fun workout before surgery tomorrow, for completion: 21-15-9 Calorie Row Strict Pull Up … By Zach Seemayer, ETOnline.com. 30 Jun 2021 10:53 PM Return to normal function is expected in four to six months. Treatment and recovery time can take up to 12 months. Treatment for a ruptured Achilles tendon often depends on your age, activity level and the severity of your injury. What Is the Recovery Time of Achilles Tendon Surgery? The peak age for Achilles tendon rupture is 30 to 40. It serves as my own reminder of the physical recovery and an aid in my emotional ups and downs from this devastating injury. If your surgery was successful with no complications and you plan to follow the rehabilitation recommendations of your orthopedic surgeon to the letter, the best guess is no less than six months. But when the tendon gets stretched too far, it can rupture, resulting in a complete or partial tear. If you have suffered an Achilles tendon rupture, then you know how painful and debilitating the injury can be.An Achilles tear can prevent you from walking normally and can limit your normal work and recreational activity. Durant, a 10-time All-Star, the 2014 NBA MVP, and a two-time NBA Finals MVP, ruptured his Achilles tendon in Game 5 of the 2019 NBA Finals. The pain is typically worse with movement. Surgery is the most common treatment for Achilles tendon rupture. Sometimes the Achilles tendon is weak, making it more prone to rupture. Achilles tendon rupture surgery is a procedure foot and ankle orthopaedic surgeons perform to reconnect the calf muscles with the heel bone and restore push-off strength. Varies: Recovery from achilles injuries or tendonitis is often very gradual. Achilles tendon rupture affects about 1 in 15,000 people at any one time, increasing to 1 in 8,000 in competitive athletes. But our team of foot and ankle specialists, orthopaedic surgeons, and physical therapists will work with you to get on your feet and back in the game as soon as possible. This retrospective cohort study aimed to determine the optimal duration of immobilisation after this surgery. Surgery may involve debridement and possibly Achilles tendon replacement with a graft (tendon transfer) if chronic damage to the tendon caused it to rupture. Achilles tendon rupture surgery involves reattaching the torn ends of the tendon with stitches. It’s the largest tendon in your body. Achilles tendon injuries occur more often during sports that involve running, jumping, and sudden starts and stops — such as soccer, basketball and tennis. Here goes.… Immediately after an Achilles tendon rupture, walking will be difficult and one is unable to stand on their toes. It ruptures most commonly in 40-60-year-old male weekend warriors, often with the sound of a pop or a crack. Surgery may involve debridement and possibly Achilles tendon replacement with a graft (tendon transfer) if chronic damage to the tendon caused it to rupture.
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