post-operative instructions achilles tendon repair · achilles tendon repair day of surgery a. diet...
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Laith M Jazrawi, MD
Professor of Orthopedic Surgery Chief, Division of Sports Medicine T 646-501-7223
NYU Langone Orthopedic Center 333 E 38th St, New York, NY 10016 T 646-501-7223 F 646-754-9505 www.NewYorkOrtho.com
Post-Operative Instructions Achilles Tendon Repair
DayofSurgery
A. Dietastolerated.B. Painmedicationasneededevery6hours.C. Icingisimportantforthefirst5-7dayspost-op.Iceisappliedfor20-minuteperiods3-4timesperday.Care
mustbetakenwithicingtoavoidfrostbite.D. Setupyourphysicaltherapyappointmentfor4weeksaftersurgeryE. Keeplegelevatedaboveheart
FirstPost-OperativeDay
A. ContinueicingB. Youwillneedtokeepyourcast/splintdrywhentakingashower.Dothisforabout4weeksaftersurgery.
SecondPost-OperativeDayuntilreturnvist
A. ContinueicingB. Legelevationasmuchaspossible
AnkleSupport
A. Weeks0-2:posteriorslab/splintB. Weeks2-4:shortlegcastC. Weeks4-6:Aircastwalkingbootwith2cmheellift,weightbearingastoleratedD. Weeks6-8:RemoveheelliftE. Week8-12:weanoffboot
Callouroffice@646-501-7223option4,option2toconfirmyourfirstpostoperativevisit,whichisusuallyabout1-2weeksaftersurgery.Ifyouareexperiencinganyproblems,pleasecallourofficeorcontactusviatheinternetatwww.newyorkortho.com.
Dr. Laith M. JazrawiChief, Division of Sports MedicineAssociate Professor Department of Orthopaedic Surgery
Rehabilitation After Achilles Tendon Repair
NYU Langone Orthopedic Center 333 E 38th St, New York, NY 10016 T 646-501-7223 F 646-754-9505 www.NewYorkOrtho.com
Rehabilitation After Achilles Tendon Repair
NYU Langone Orthopedic Center 333 E 38th St, New York, NY 10016 T 646-501-7223 F 646-754-9505 www.NewYorkOrtho.com
Rehabilitation After Achilles Tendon Repair
Precautions o Posterior slab/splinto Non-weight bearing with crutches
Phase I (Surgery to 2 weeks after surgery)
Phase II (2 weeks to 6 weeks following surgery)
Precautions o Weeks 2 – 4o Short leg casto Protected weight-bearing with crutches
o Weeks 4 – 6o Aircast walking boot with 2cm heel lift (wear while sleeping, can
remove for bathing/dressing)o Weight-bearing as tolerated
Therapeutic Exercises
o Weeks 4– 6o Can Start PT exercises:o Initiate active plantar flexion and dorsiflexion to neutralo Initiate active inversion/eversion below neutralo Hip/knee exercises with no ankle involvemento Non-weight bearing fitness exerciseso Hydrotherapy – within motion and weight-bearing limitation
Phase III (6 weeks to 12 weeks following surgery)
Precautions o Weeks 6 – 8o Remove heel lifto Continue weight-bearing as tolerated
o Weeks 8 – 12o Wean off boot
Therapeutic Exercises
o Weeks 6– 8o Dorsiflexion stretchingo Graduated resistance exercises (open and closed kinetic chain)o Proprioceptive and gait trainingo Fitness exercises to include WBAT – bicycling, elliptical machineo Hydrotherapy
o Weeks 8 – 12o Continue to progress ROM, strength, and proprioception
NYU Langone Orthopedic Center 333 E 38th St, New York, NY 10016 T 646-501-7223 F 646-754-9505 www.NewYorkOrtho.com
Rehabilitation After Achilles Tendon Repair
Phase IV (12 weeks after surgery and beyond)
Goals o Continue to progress ROM, strength, and proprioception
Therapeutic Exercises
o Increase dynamic weight-bearing exercises – plyometric trainingo Sport-specific trainingo Work to restore strength, power, and endurance
References
NYU Langone Orthopedic Center 333 E 38th St, New York, NY 10016 T 646-501-7223 F 646-754-9505 www.NewYorkOrtho.com