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J Athl Train. 1994 December; 29(4): 349–351.
PMCID: PMC1317811

Progressive Management of Open Surgical Repair of Achilles Tendon Rupture

Dirk H. Dugan, MD
Dirk H. Dugan is Orthopedic Surgeon at Orthopedic Surgery and Sports Medicine, 201 Dates Drive, Ithaca, NY 14850.


A 33-year-old man sustained an acute Achilles tendon rupture which was surgically repaired. Early nonweight-bearing range of motion and strengthening of the ankle and the repaired muscle unit was allowed at 4 weeks postoperatively, and closed-chain dorsiflexion was allowed at 6 weeks. Casts and/or ankle-foot orthoses were used to continue protection of the Achilles from reinjury and full body forces as the repaired muscle continued to heal. In this case, range-of-motion and strengthening exercises were initiated at an earlier stage in the treatment program without compromising the result. When indicated, this treatment will provide excellent posttraumatic function of the surgically repaired Achilles tendon in the motivated and compliant patient.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Beskin JL, Sanders RA, Hunter SC, Hughston JC. Surgical repair of Achilles tendon ruptures. Am J Sports Med. 1987 Jan-Feb;15(1):1–8. [PubMed]
  • Bradley JP, Omodio LG, Crider JR. Achilles tendon ruptures. Intraoperative techniques for repair. AORN J. 1992 Apr;55(4):994–1008. [PubMed]
  • Bradley JP, Tibone JE. Percutaneous and open surgical repairs of Achilles tendon ruptures. A comparative study. Am J Sports Med. 1990 Mar-Apr;18(2):188–195. [PubMed]
  • Carter TR, Fowler PJ, Blokker C. Functional postoperative treatment of Achilles tendon repair. Am J Sports Med. 1992 Jul-Aug;20(4):459–462. [PubMed]
  • Fox JM, Blazina ME, Jobe FW, Kerlan RK, Carter VS, Shields CL, Jr, Carlson GJ. Degeneration and rupture of the Achilles tendon. Clin Orthop Relat Res. 1975;(107):221–224. [PubMed]
  • Gillies H, Chalmers J. The management of fresh ruptures of the tendo achillis. J Bone Joint Surg Am. 1970 Mar;52(2):337–343. [PubMed]
  • Häggmark T, Liedberg H, Eriksson E, Wredmark T. Calf muscle atrophy and muscle function after non-operative vs operative treatment of achilles tendon ruptures. Orthopedics. 1986 Feb;9(2):160–164. [PubMed]
  • Hart TJ, Napoli RC, Wolf JA, Cangiano S. Diagnosis and treatment of the ruptured Achilles tendon. J Foot Surg. 1988 Jan-Feb;27(1):30–39. [PubMed]
  • Hattrup SJ, Johnson KA. A review of ruptures of the Achilles tendon. Foot Ankle. 1985 Aug;6(1):34–38. [PubMed]
  • Inglis AE, Scott WN, Sculco TP, Patterson AH. Ruptures of the tendo achillis. An objective assessment of surgical and non-surgical treatment. J Bone Joint Surg Am. 1976 Oct;58(7):990–993. [PubMed]
  • Inglis AE, Sculco TP. Surgical repair of ruptures of the tendo Achillis. Clin Orthop Relat Res. 1981 May;(156):160–169. [PubMed]
  • Jacobs D, Martens M, Van Audekercke R, Mulier JC, Mulier F. Comparison of conservative and operative treatment of Achilles tendon rupture. Am J Sports Med. 1978 May-Jun;6(3):107–111. [PubMed]
  • Kalish SR, Mahan KT, Maxwell JR, Yu GV. Achilles tendon rupture: a case report and discussion of conservative versus surgical repair. J Foot Surg. 1983 Spring;22(1):33–39. [PubMed]
  • Kelly TF, Ryan JB. Lacerated Achilles tendon in a collegiate hockey player. A case report. Am J Sports Med. 1992 Jan-Feb;20(1):84–87. [PubMed]
  • LAGERGREN C, LINDHOLM A. Vascular distribution in the Achilles tendon; an angiographic and microangiographic study. Acta Chir Scand. 1959 May 15;116(5-6):491–495. [PubMed]
  • Lea RB, Smith L. Non-surgical treatment of tendo achillis rupture. J Bone Joint Surg Am. 1972 Oct;54(7):1398–1407. [PubMed]
  • Lea RB, Smith L. Rupture of the achilles tendon. Nonsurgical treatment. Clin Orthop Relat Res. 1968 Sep-Oct;60:115–118. [PubMed]
  • Marti R, Weber BG. Achillessehnenruptur - funktionelle Nachbehandlung. Helv Chir Acta. 1974 Mar;41(1-2):293–296. [PubMed]
  • Matles AL. Rupture of the tendo achilles: another diagnostic sign. Bull Hosp Joint Dis. 1975 Apr;36(1):48–51. [PubMed]
  • Nistor L. Surgical and non-surgical treatment of Achilles Tendon rupture. A prospective randomized study. J Bone Joint Surg Am. 1981 Mar;63(3):394–399. [PubMed]
  • Schram AJ, Landry JR, Pupp GR. Complete rupture of the Achilles tendon: a new modification for primary surgical repair. J Foot Surg. 1988 Sep-Oct;27(5):453–457. [PubMed]
  • Swenson SA, Jr, Smith W. Spontaneous rupture of the Achilles tendon. J Trauma. 1970 Apr;10(4):334–337. [PubMed]
  • Wills CA, Washburn S, Caiozzo V, Prietto CA. Achilles tendon rupture. A review of the literature comparing surgical versus nonsurgical treatment. Clin Orthop Relat Res. 1986 Jun;(207):156–163. [PubMed]

Articles from Journal of Athletic Training are provided here courtesy of National Athletic Trainers Association