Achilles Tendon Release in India

Achilles Tendon Release – Description

Achilles Tendon Release is a surgical procedure performed to reduce tightness in the Achilles tendon, which connects the calf muscles to the heel bone. When this tendon becomes too tight or shortened, it can make it difficult to move the foot upward, walk properly, or keep the foot in a normal position.

The procedure involves carefully releasing or lengthening the tight tendon to improve ankle movement and help the foot achieve a better position. It is commonly performed in patients with cerebral palsy, congenital foot deformities, or other conditions that cause muscle tightness and limited ankle movement.

When Is Achilles Tendon Release Needed?

This procedure may be recommended for patients who have:

• Tight or shortened Achilles tendon.

• Difficulty moving the foot upward toward the shin.

• Toe walking due to tendon tightness.

• Equinus foot deformity, where the foot points downward.

• Walking difficulties caused by muscle stiffness.

• Ankle movement restrictions due to cerebral palsy.

• Foot positioning problems that affect balance and mobility.

Types of Achilles Tendon Release

Depending on the severity of tendon tightness, the surgeon may perform:

1. Percutaneous Tendon Lengthening: Small cuts are made in the tendon to allow it to stretch.

2. Open Tendon Lengthening: The tendon is exposed through a surgical incision and carefully lengthened.

3. Z-Lengthening: The tendon is divided in a specific Z-shaped pattern and rejoined at a longer length.

Benefits of Achilles Tendon Release

• Improves ankle flexibility and movement.

• Helps correct downward-pointing foot deformity.

• Reduces tendon tightness.

• Improves foot positioning while standing and walking.

• May help reduce toe walking.

• Supports better walking balance and mobility.

• Makes daily activities easier in suitable patients.

Recovery After Surgery

Recovery depends on the patient's age, medical condition, and the type of procedure performed.

• A cast or splint may be used to protect the tendon.

• The foot may need to remain in a specific position during healing.

• Weight-bearing may be restricted initially.

• Physiotherapy helps restore ankle movement and muscle strength.

• Walking activities are gradually increased as healing progresses.

• Regular follow-up visits help monitor recovery.

Possible Risks and Complications

Like other surgical procedures, Achilles tendon release may involve certain risks, including:

• Pain, swelling, or bleeding.

• Infection around the surgical area.

• Scar formation.

• Nerve or blood vessel injury.

• Tendon weakness or overlengthening.

• Difficulty pushing the foot downward.

• Changes in walking pattern.

• Recurrence of tendon tightness.

Conclusion

Achilles Tendon Release is a treatment option for patients with a tight or shortened Achilles tendon that affects foot position and ankle movement. It aims to improve flexibility, support proper foot alignment, and make walking easier. The surgeon recommends the most suitable technique after evaluating tendon tightness, ankle movement, walking pattern, and the patient's overall condition.