Can I walk 8 weeks after surgery with a ruptured right tibial tendon in my ankle?

If the patient has a ruptured Achilles tendon and wants to walk down after the surgery**, it usually takes about 8-10 weeks. Because after Achilles tendon rupture surgery**, the ankle should be fixed with plantar flexion for 5-6 weeks to promote the recovery of Achilles tendon rupture, and then the ankle should be fixed in a neutral position for 3-4 weeks. After the above treatment, the Achilles tendon rupture can usually be fully recovered, and then the fixation can be removed, and the ankle flexion and extension exercises and light weight-bearing activities can be performed gradually.

If the Achilles tendon rupture surgery** is removed prematurely, the foot and ankle flexion and extension, weight-bearing activities, etc., may affect the Achilles tendon rupture repair, and it is easy to cause the Achilles tendon to rupture again during the later activity.

The postoperative recovery is phased, the first thing to face is the atrophy of the muscles, and then the external fixation for a long time, the basic exercises can not be done, the atrophy of the leg muscles is certain, so how to slow down the speed of atrophy, you must know that the preservation of muscle strength is the basis of later recovery. At first, many friends thought that they could still do some exercise if they were fixed, and the doctor didn't also say that they should recuperate. In fact, there are fixed workout methods, which are very simple.

**Training should start from the first day after surgery, and toe movement is a must, which can not only prevent the atrophy of the internal muscles of the foot, but also reduce swelling to a certain extent. During the period of wearing a plaster, the static contraction exercise should be strengthened, and if the short cast is played, you can do high leg raises, strengthen the quadriceps muscles, pay attention not to slip during the exercise, and avoid the forefoot of the injured foot hitting the ground. Generally, the time of external fixation is 4 to 6 weeks, and many friends start with plantar flexion long plaster fixation, and after 3 to 4 weeks, change to short plaster close to functional position fixation.

The upper end of the Achilles tendon connects the soleus muscle and gastrocnemius muscle of the lower leg, and the lower end connects to the calcaneus, which is a dense connective tissue with strong regenerative ability. Most of the injured patients have cauda equina tears, if the strength of the suture is sufficient, that is, the strength of the repaired Achilles tendon is strong enough, the connective tissue can heal in 3 weeks, and for the sake of insurance, it should be fixed for a longer period of time. In addition, the injured person with a secondary fracture or an old fracture will be relatively prolonged for a fixed time.

6 8 weeks is the first dangerous time window for secondary rupture, at this time just removed external fixation, if there is an accident of sudden weight bearing on the forefoot, causing a rapid plantar flexion response, it is more likely to occur secondary rupture, 10 12 weeks is the second dangerous time window, at this time the Achilles tendon is physiologically beginning to migrate healthy tendon tissue to replace the original fibrous scar, so still should not carry out strenuous exercise, especially avoid rapid forefoot landing weight-bearing. However, walking slowly should not be a problem from the perspective of time. The third time window is when you practice jumping in the early days, and jumping practice should also start from simulated jumps, small jumps, and big jumps.

In general, avoiding sudden force on the forefoot is the key to preventing secondary injury. When the external fixation is just removed, most friends will find that their injured foot is very swollen, the Achilles tendon is thick and hard, this phenomenon is very normal, don't be nervous, the Achilles tendon is healed, but it is not a normal tissue structure, it is fibrotic scar tissue, the elasticity is relatively poor, so it is normal to be thick and hard, and the Achilles tendon is thick and hard in half a year to a year

Problem Analysis:

Hello, the described condition is due to trauma that caused a rupture of the anterior tibial tendon in the lower leg or ankle, which was given three weeks after anastomosis repair surgery.

Suggestions: The activity of the affected area should be avoided in the early stage after tendon anastomosis surgery, so as to avoid the failure of the operation caused by the rerupture of the tendon anastomosis, and the activity exercise can be carried out about 4 weeks after the anterior tibial tendon rupture surgery, and if there is no plaster immobilization of the affected limb now, it should be walked after 4 weeks of surgery.