ACHILLES TENDON REPAIR

Initial key
Protect the surgical repair, patient is NWB on crutches with a cast for the first 4 weeks

At approximately 10 days post-op
Wound check and suture removal, splint is removed and cast is applied

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

5 Weeks post operative
Patient may begin AROM exercises of the ankle - no resistance

7 Weeks post operative
Patient may begin gentle stretch into dorsiflexion with a towel or strap

8 Weeks post operative
Begin full weight bearing and wean from crutches

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

12 weeks post operative
Patient can begin resistive exercises

4 months post operative
Patient can progress to light jogging

6 months post operative
Patient can initiate return to athletics

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