Achilles tendon rupture is a relatively common clinical problem that is not simple to manage. The most common problems are non-healing incision or even infection, joint stiffness, and re-rupture of the Achilles tendon.
1.The distal and proximal ends of the rupture are sutured together in a “sandwich bread” type contact to increase the contact area and friction.
2.It is better to use the triceps tendon flap to strengthen the suture.
3.Suture the Achilles tendon with even stitches and do not leave a dead space.
4, The thread knot should be left on the inner surface of the Achilles tendon as much as possible.
5, postoperatively, both sides of the Achilles tendon should be compressed with gauze rolls to stop bleeding.
6. Postoperatively, use a long-legged cotton plaster splint to fix up to the mid-thigh.
7, Some older patients can consider conservative treatment.
These are the main points of surgery, all of which may reduce complications. The chance of re-breaking within six months after surgery is high, so be careful. Here is the post-operative rehabilitation program of Achilles tendon in Beihang Hospital. Please refer to.
Post-operative rehabilitation program for Achilles tendon
1.After anesthesia subsides, move the foot and fingers to promote blood circulation and prevent swelling.
2.Practice upper limb strength in bed every day.
3.You can get out of bed with crutches to go to the toilet and practice the elevation of the affected limb in bed.
4.4 weeks the cast was shortened to below the knee joint.
5.After 5 weeks, start to remove the cast in bed and practice knee and ankle extension activities. Always go down with a cast and crutches.
6.After 6 weeks, start foot soaking twice a day for 20 minutes, and start roller exercises.
At 7 or 8 weeks, the cast was removed, the heel was padded and the shoe was worn, and the foot was walked with crutches. Heel height of 3-3.5 cm, more than 10 layers of cardboard stepped on, to walk smoothly as the standard to go to the heel, every 2-3 days to a layer.
8, three months later you can start from slow walking over to fast walking practice. Can not play bowling! Can not ride a bicycle! To prevent accidental falls!
9, step by step! According to their own practice gradually fast walking – jogging – fast running – jump.
10, fast running exercises at the same time can be supplemented by heel lifting exercises, double foot heel lifting gradually transition to single foot heel.
11, 6 months after the practice of special training.