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Achilles Tendon Repair

Initial Key – Protect the surgical repair, patient is NWB on crutches with a cast for the first 4 weeks.
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At approximately 10 days post operative

Wound check and suture removal, splint is removed and cast is applied.
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4 weeks post operative

Splint is removed and patient is placed in a cam walker with heel lifts to keep in 15 degrees of plantar flexion.
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5 weeks post operative

Patient may begin AROM exercises of the ankle – no resistance.
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7 weeks post operative

Patient may begin gentle stretch into dorsiflexion with a towel or strap.
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8 weeks post operative

Begin full weight bearing and wean from crutches.
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9 weeks post operative

Full weight bearing with a heel lift or heeled shoe, may initiate cycling on stationary bike, weight bearing stretches may be initiated.
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12 weeks post operative

Patient can begin resistive exercises.
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4 months post operative

Patient can progress to light jogging.
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6 months post operative

Patient can initiate return to athletics.