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Ankle Tendon Repair Surgery

Ankle tendon repair is a surgical intervention aimed at restoring the functionality of injured ankle tendons. It includes various procedures such as tendon repair surgery, tendon reconstruction, and tendon transfer among others. Ankle tendon management plays an important role in reducing pain and regaining mobility for those suffering from peroneal tendon injuries. If you are experiencing ankle discomfort or instability, seek help from the dedicated doctors at Pristyn Care. Book an appointment with our expert orthopaedic surgeon for professional ankle tendon treatment.

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What Is Ankle Tendon Repair?

Ankle tendon repair refers to surgical interventions to address ankle tendon injuries, particularly the peroneal tendons. These tendons play a pivotal role in stabilizing the ankle and facilitating movement. Damage to these could occur due to various factors, including acute injuries such as sprains, chronic conditions, or degenerative diseases. The repair procedures aim to reduce symptoms like pain, swelling, and instability, thus improving quality of life.

The decision of surgery is made when non-surgical treatments like rest, physical therapy, and medication fail to provide sufficient relief. Each procedure is customized according to the severity and specifics of the injury. This ensures you receive the most effective course of treatment.

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What Are The Types Of Ankle Tendon Repair?

Ankle tendon repair encompasses several surgical procedures, each designed to meet specific needs based on the severity of tendon damage.

  • Tendon Repair Surgery: This method involves suturing the torn ends of a tendon back together. It is appropriate for less severe injuries where the tendon is not completely ruptured.
  • Tendon Reconstruction: In cases of significant damage or chronic tears, a graft from other body parts is used to replace the damaged tendon. Alternatively, a graft from a tissue bank can also be used to replace the damaged tendon.
  • Tendon Transfer: If a tendon can’t be repaired, it may be replaced with a healthy tendon from another part of the body. This helps to restore function to the affected area.
  • Suture Repair: For partial thickness tears, the damaged tissue is cleaned out, and the tendon is stitched back together.
  • Full-Thickness Tear Repair: In cases of complete ruptures, the two ends of the tendon are sutured together. This requires more extensive surgical techniques to ensure stability and proper healing.

Diagnosis Before Ankle Tendon Repair Surgery

To diagnose ankle tendon injury, a doctor will gather your medical history, study your symptoms and conduct several tests. Here are some of the tests you can expect:

  • Physical Examination: Your doctor will assess the condition of your ankle, checking for signs like pain, swelling, bruising, and stability issues. They may also conduct stress tests to evaluate the integrity of your tendon.
  • Imaging Tests: X-rays can help rule out fractures. Also, other tests like magnetic resonance imaging (MRI) or ultrasound can visualise the exact extent of the tendon damage. These imaging tests can help identify partial or full-thickness tears in the tendon.
  • Patient History: The doctor will ask about the cause of the injury, such as an ankle sprain, and symptoms, such as pain, weakness, or instability.

What Is The Procedure For Ankle Tendon Repair?

The Ankle Tendon Repair procedure typically involves the following steps:

  • Incision: Your surgeon makes an incision along the outer side of your ankle. It gives access to the peroneal tendons in need of repair.
  • Repair or Reconstruction: The damaged tendon is either sutured back together or reconstructed using sutures, anchors, or by performing a tendon transfer.
  • Closure and Immobilisation: The surgical incision is closed with stitches and the ankle is immobilised using a splint or a cast to aid in healing.

Following surgery, extensive rehabilitation is required to ensure proper recovery.

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Who Is The Right Candidate For Ankle Tendon Repair?

Ankle tendon repair is based on the patient’s symptoms, injury, and impact on daily activities and quality of life. While each case is unique, certain criteria might make someone a suitable candidate for the surgery. These include:

  • Severity of Symptoms: Surgery is considered when the ankle tendon injury causes significant pain, weakness or instability, affecting daily activities.
  • Lack of Response to Non-Surgical Treatments: If non-surgical treatments like rest, physiotherapy and medication do not improve your condition, then ankle tendon repair may be considered.

Discuss the best possible treatment options for ankle tendon management with your doctor.

What Are the Benefits of Ankle Tendon Repair?

Ankle tendon repair is a surgical procedure to fix damaged tendons in the ankle. Here are the key benefits:

  • Pain relief: Ankle tendon repair often results in substantial relief from pain in the affected ankle.
  • Restored range of motion: The surgery can restore the range of motion in your foot and ankle. This makes it easier for you to walk and undertake other regular activities.
  • Strengthened foot and ankle: After successful surgery, you may notice improved strength in your foot and ankle. This enables you to carry out previously difficult tasks.

How to Prepare for Ankle Tendon Repair?

Preparing effectively for an ankle tendon repair can enhance your recovery and outcome. Here are some steps you should take before the surgery:

  • Rest and ice application: Take sufficient rest and apply ice to your ankle to reduce swelling.
  • Anti-inflammatory medication: Your doctor may recommend anti-inflammatory drugs to alleviate pain before the procedure.
  • Exercises: Undertake specific exercises, as suggested by your physician, to maintain flexibility in your ankle.

What Are the Recovery Tips and Precautions To Follow After Ankle Tendon Repair?

Recovering from an ankle tendon repair requires patience and adherence to specific guidelines given by your doctor. Here are some tips:

  • Elevation: Keep your ankle elevated above heart level as much as possible to minimise swelling.
  • Crutches or walker use: To avoid weight-bearing on the operated ankle, use crutches or a walker for about four weeks post-surgery.
  • Physical therapy: Attend physical therapy sessions to regain strength and range of motion in your ankle.
  • Gradual resumption of activities: Start slowly getting back to your regular activities under your doctor’s guidance.
  • Keep the surgical site dry: Make sure not to get the surgical site wet until your doctor gives permission.
  • Avoid smoking: Smoking can delay healing, so it’s crucial to refrain from it during the recovery phase.

Potential Risks or Complications Associated with Ankle Tendon Repair

Ankle tendon repair is generally safe, but as with any surgical procedure, there are risks. Here are some potential complications:

  • Infection: While rare, there’s a chance of infection at the surgical site which would need immediate medical attention.
  • Nerve damage: There’s a small risk of nerve damage during surgery which could impact sensation in the foot.
  • Restricted range of motion: Some people may experience stiffness or limited movement after the surgery.
  • Persistent pain or swelling: Despite successful surgery, some patients might continue to experience pain or swelling in the ankle.

What Is The Cost Of Ankle Tendon Repair In India?

The cost of an ankle tendon repair in India can vary significantly. A rough estimate of the expenditure ranges from INR 1,50,000 to INR 3,50,000. However, it depends on various factors. These factors include:

  • Complexity of Surgery: More complex surgeries often result in a higher cost. This is due to the increased involvement and time commitment from the surgical team, coupled with more intensive post-surgery care.
  • Choice of Hospital: The hospital selected for the procedure can directly influence the cost. Some hospitals with state-of-the-art facilities may charge more than others.
  • City of Operation: The location of the procedure is another significant factor. Metropolises, where healthcare costs are generally higher, might have a higher surgery cost than smaller towns.
  • Surgeon’s Expertise: More seasoned surgeons may charge higher fees due to their vast experience and proven success in the field.

Is Ankle Tendon Repair Covered Under Insurance?

Yes, ankle tendon repair is often covered under health insurance policies in India. However, the extent of coverage largely depends on the specifics of an individual’s insurance plan. Most insurance plans cover surgical costs (including operation theatre (OT) fees), hospitalisation expenses, pre-operative tests, and post-operative care.

However, some insurance policies may exclude certain aspects such as cosmetic procedures deemed non-essential to the ankle tendon repair. Moreover, surgeries relating to pre-existing conditions may not be covered by all insurance plans unless explicitly stated.

FAQs

How common is the need for ankle tendon repair?

In India, ankle injuries are quite common, especially among athletes and individuals with physically demanding occupations. Ankle tendon tears often require surgical intervention, i.e., ankle tendon repair, to restore normal function.

What symptoms suggest that ankle tendon repair might be needed?

Indicators for ankle tendon repair may include severe ankle pain, difficulty moving the foot, and visible deformity. Also, symptoms like the inability to bear weight, and persistent swelling despite rest and medication, suggest ankle tendon injury.

How long does it usually take to recover from an ankle tendon repair?

The recovery timeline after an ankle tendon repair can range from six weeks to several months. It depends on the individual’s age, health status, and the severity of the injury.

Are there any alternative treatments for ankle tendon repair?

Yes, conservative treatments such as physiotherapy and bracing might be considered for a partial tendon tear. However, in cases of a complete rupture or tear, ankle tendon repair is required.

Does smoking affect the outcome of ankle tendon repair?

Smoking can indeed influence your recovery from an ankle tendon repair. Smoking reduces blood flow throughout the body which can delay healing and may increase your risk of complications post-surgery.

What role does physiotherapy play during the recovery phase post-ankle tendon repair?

Following an ankle tendon repair surgery, physiotherapy is integral to the rehabilitation process. It aids in restoring strength and flexibility to the affected area.

How important is diet in recovery following an ankle tendon repair?

A healthy diet is crucial to your recovery after an ankle tendon repair. Nutrient-rich foods can help in wound healing, boost your immune system, and provide the energy for a successful recovery process.

What long-term measures should one take for optimal ankle health post an ankle tendon repair?

After recovering from an ankle tendon repair, long-term measures should include regular exercises to maintain ankle strength and flexibility. Also, wear appropriate shoes, avoid high-impact sports if possible and maintain a healthy weight to reduce ankle stress.

Can I return to sports or physical activities after an ankle tendon repair?

Yes, but only after adequate recovery and clearance from your doctor. With proper rehabilitation, most individuals can return to their previous levels of activity including sports or physical work.

Can ankle tendon repairs fail or rupture again?

While rare, a repaired tendon can rupture again. This could happen if post-operative instructions are not followed or the patient returns to high-impact activities too soon.

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