What to Know About Minimally Invasive Achilles Tendon Surgery

Achilles tendon ruptures are common among athletes and active individuals, and treatment options have evolved over time. In this Q&A, ONS foot and ankle surgeon Dr. Andrew Pao discusses how minimally invasive surgery is improving outcomes while reducing recovery time and risks for patients.

How is an Achilles tendon rupture treated?

The best treatment for an Achilles rupture depends on the patient’s activity level, timing of diagnosis, and personal goals. Non-surgical treatment can work well for less active patients if the injury is caught early and managed with proper immobilization and rehab. However, surgery may reduce the risk of re-rupture, minimize weakness in plantarflexion, and lead to a faster return to activity—especially if diagnosis is delayed or significant weakness persists.

What is minimally invasive Achilles tendon repair?

Minimally invasive Achilles tendon repair is performed through a small incision—typically around 3 centimeters. Sutures are passed through the tendon ends and tied to reapproximate the rupture, all while avoiding a large surgical exposure. This technique provides a strong repair while minimizing risks such as wound complications or visible scarring.

• Avoids large incisions and extensive dissection
• Reduces the risk of wound complications
• Leads to less scarring and a quicker recovery
• Still provides a strong and durable tendon repair

Although the technique has been very successful in most patients, it may not be appropriate in every case. The chronicity and condition of the tendon are key factors in determining the best treatment approach.

Who is a candidate for minimally invasive Achilles tendon surgery?

Patients who are relatively active, have a recent rupture, and want to minimize recovery time and risk of complications are often great candidates. However, chronic injuries or retracted tendon ends may require a more open approach. It’s important to consult a specialist to determine the most effective treatment based on your specific injury.

How can patients learn more or find out if this treatment is right for them?

To learn more or schedule a consultation, contact the ONS office at (203) 869-1145 or visit our website to request an appointment with a foot and ankle specialist.