ACHILLES TENDON LENGTHENING

If you need an achilles tendon lengthening, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What Is An Achilles Tendon Lengthening?

Surgeons perform Achilles tendon lengthening, a surgical procedure aimed at extending the Achilles tendon, the thick band of tissue connecting the calf muscles to the heel bone (calcaneus). This procedure commonly addresses equinus contracture or tightness of the Achilles tendon. Unlike Achilles Tendon Repair, which is a surgical procedure performed to treat a tear or rupture of the Achilles tendon

Excessive tightness in the calf muscles exerts undue pressure on the Achilles tendon, thereby constraining ankle mobility. Musculoskeletal conditions such as cerebral palsy, spasticity, or specific foot deformities actively induce tightness in the Achilles tendon. Repetitive stress or strain inflicted upon the Achilles tendon over time chronically tightens it. Additionally, heel cord contracture perpetually shortens the Achilles tendon. Surgeons actively employ Achilles tendon lengthening techniques to mitigate equinus contracture.

Two Types of Achilles Tendon Lengthening

Surgeons employ two types of Achilles tendon lengthening procedures, gastrocnemius recession and Z-lengthening, effectively treat tightness in the Achilles tendon. Surgeons perform gastrocnemius recession by making an incision in the calf muscle, specifically targeting the gastrocnemius muscle. This procedure allows the muscle to stretch and lengthen, reducing tension on the Achilles tendon. Gastrocnemius recession is often recommended for patients with limited ankle dorsiflexion caused by tight calf muscles.

In contrast, Z-lengthening involves making Z-shaped incisions along the Achilles tendon itself. Surgeons then stretch and suture the tendon in a lengthened position. This technique directly addresses the tightness in the tendon, providing greater flexibility and range of motion. Z-lengthening is particularly useful for patients with significant tendon shortening due to conditions like cerebral palsy or spasticity.

Both procedures aim to improve mobility, reduce pain, and enhance the patient’s overall quality of life by alleviating the symptoms associated with Achilles tendon tightness.

Rehabilitation for Achilles Tendon Lengthening

Following surgery, a period of immobilization in a cast or walking boot may be necessary for proper tendon healing. Physical therapy and rehabilitation exercises are vital for restoring strength, flexibility, and function to the ankle and lower leg.

After surgery, patients begin with a period of immobilization, using a cast or brace to protect the tendon. Once the initial healing phase ends, physical therapy becomes the primary focus. Physical therapists guide patients through gentle range-of-motion exercises to gradually restore flexibility and prevent stiffness.

As healing progresses, therapists introduce strengthening exercises for the calf muscles and Achilles tendon. These exercises often include controlled stretching, resistance training, and balance activities to rebuild strength and stability. Performing these exercises consistently helps prevent re-injury and ensures optimal recovery.

Patients also learn proper techniques for walking and weight-bearing to avoid excessive strain on the tendon. Throughout rehabilitation, therapists monitor progress and adjust the program as needed. Adhering to the rehabilitation plan allows patients to regain full function, reduce pain, and return to their normal activities with improved mobility and strength.

If you would like to speak to an Orthopedic Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.