Learn how Tendon Surgery restores mobility and strength after a rupture. Discover the advancements in Tendon repair and specialized care at Liv Hospital.
Send us all your questions or requests, and our expert team will assist you.
Overview and Definition
Tendon Surgery is a specialized orthopedic procedure performed to treat damaged or ruptured tendons—the tough, fibrous cords of tissue that connect muscles to bones. When a tendon is torn or severely injured, the muscle can no longer pull on the bone, resulting in a loss of function and significant weakness. The primary goal of surgery is to bring the separated ends of the tendon back together and secure them, allowing the body to initiate a natural biological healing process.
A successful Tendon repair requires extreme surgical precision. Because tendons have a limited blood supply compared to muscles, they heal slowly and are prone to scarring. At Liv Hospital, we utilize high-tension suturing techniques and minimally invasive approaches to ensure the repair is strong enough to withstand the mechanical forces of daily movement. Whether it is a hand tendon or a major weight-bearing structure like the ankle, our focus is on restoring the exact tension required for optimal joint mechanics.
Injury and Causes
The need for Tendon Surgery often arises from a sudden, high-energy mechanical stress. This is most common in the “Achilles,” the largest tendon in the body. An injury here often occurs during sports that involve sudden jumping or pivoting. When the force exceeds the tendon’s tensile strength, it snaps—a sensation many patients describe as being “kicked in the back of the leg.” This trauma necessitates achilles tendon surgery to bridge the gap and restore the “push-off” power of the foot.
Calcaneal tendon surgery (another term for Achilles repair) may also be required for chronic, “neglected” tears or severe tendinosis. Over time, repetitive micro-trauma can cause the tendon fibers to break down and be replaced by weak scar tissue. If the tendon becomes structurally unstable, a surgical reconstruction is performed. At Liv Hospital, we emphasize that “weekend warriors”—middle-aged athletes—are at the highest risk for these injuries due to a natural biological decline in tendon elasticity.
Diagnosis and Imaging
A successful Tendon Surgery starts with a clinical “Thompson Test”—a maneuver where the surgeon squeezes the calf muscle to see if the foot moves. If the foot stays still, it confirms a complete rupture. At Liv Hospital, we also perform a detailed strength assessment to determine if the injury is a “functional” loss or if other muscles are compensating for the damage.
To map the exact location of the tear, we utilize:
Treatment and Recovery
At Liv Hospital, we offer the latest techniques for calcaneal tendon surgery. This includes minimally invasive “percutaneous” repairs, where the tendon is sewn back together through tiny “keyhole” incisions. This approach reduces the risk of wound complications—a common issue in the heel area—and results in less scarring. For complex or chronic cases, an “open” repair allows for the use of tendon grafts to reinforce the site.
Recovery from Tendon repair is a biological marathon.
Rehabilitation Tips
Rehabilitation is the most critical part of Tendon repair. If you move too early, the repair can stretch out; if you move too late, the joint will become permanently stiff. At Liv Hospital, we utilize “Accelerated Functional Rehabilitation,” which incorporates early, controlled movement to improve the alignment of the new tendon fibers and prevent muscle atrophy.
Liv Hospital is a center of excellence for Tendon Surgery and sports medicine. Our orthopedic surgeons are experts in both acute achilles tendon surgery and complex reconstructive Tendon repair. We combine high-definition diagnostic imaging with a world-class rehabilitation team to ensure you regain your strength and return to your active life. We understand that your mobility depends on the integrity of your tendons. We encourage you to reach out and call Liv Hospital to schedule a consultation with our foot and ankle specialists.
Liv Hospital Ulus
Assoc. Prof. MD. Gökhan Kürşat Kara
Orthopedic Surgery
Liv Hospital Ulus
Assoc. Prof. MD. Gürkan Gümüşsuyu
Orthopedic Surgery
Liv Hospital Ulus
Assoc. Prof. MD. Kadir Abul
Orthopedic Surgery
Liv Hospital Ulus
Op. MD. İsmail Tugay Yağcı
Orthopedic Surgery
Liv Hospital Ulus
Prof. MD. Ramazan Erden Ertürer
Orthopedic Surgery
Liv Hospital Ulus
Prof. MD. Uğur Haklar
Orthopedic Surgery
Liv Hospital Vadistanbul
Prof. MD. Süleyman Semih Dedeoğlu
Orthopedic Surgery
Liv Hospital Vadistanbul
Prof. MD. Yunus İmren
Orthopedic Surgery
Liv Hospital Vadistanbul
Prof. MD. İsmail Demirkale
Orthopedic Surgery
Liv Hospital Vadistanbul
Spec. MD. Gail Gasimov
Orthopedic Surgery
Liv Hospital Bahçeşehir
Assoc. Prof. MD. Birhan Oktaş
Orthopedic Surgery
Liv Hospital Bahçeşehir
Assoc. Prof. MD. Kaya Turan
Orthopedic Surgery
Liv Hospital Bahçeşehir
Op. MD. Hüsrev Purisa
Hand and Microsurgery
Liv Hospital Bahçeşehir
Op. MD. İlker Sezer
Hand and Microsurgery
Liv Hospital Bahçeşehir
Prof. MD. Ersin Kuyucu
Orthopedic Surgery
Liv Hospital Bahçeşehir
Spec. MD. Ahmet Şadi Kılınç
Orthopedic Surgery
Liv Hospital Bahçeşehir
Spec. MD. Mustafa Özçamdallı
Orthopedic Surgery
Liv Hospital Bahçeşehir
Spec. MD. Yavuz Şahbat
Orthopedic Surgery
Liv Hospital Topkapı
Assoc. Prof. MD. Alper Köksal
Orthopedic Surgery
Liv Hospital Topkapı
Assoc. Prof. MD. Kadir İlker Yıldız
Orthopedic Surgery
Liv Hospital Topkapı
Assoc. Prof. MD. Samet Erinç
Orthopedic Surgery
Liv Hospital Topkapı
Op. MD. Nikola Azar
Orthopedic Surgery
Liv Hospital Ankara
Assoc. Prof. MD. Tuğrul Yıldırım
Orthopedic Surgery
Liv Hospital Ankara
Assoc. Prof. MD. Ali Erhan Özdemirel
Rheumatology (Physical Therapy)
Liv Hospital Ankara
Assoc. Prof. MD. Özgür Kaya
Orthopedic Surgery
Liv Hospital Ankara
Asst. Prof. MD. Yunus Demirtaş
Orthopedic Surgery
Liv Hospital Ankara
Op. MD. Murat Bozbek
Orthopedic Surgery
Liv Hospital Ankara
Prof. MD. Ali Biçimoğlu
Orthopedic Surgery
Liv Hospital Ankara
Prof. MD. Levent Çelebi
Orthopedic Surgery
Liv Hospital Gaziantep
MD. Mehmet Emre Hanay
Orthopedics and Traumatology
Liv Hospital Gaziantep
Op. MD. Ferit Yücel
Orthopedics and Traumatology
Liv Hospital Samsun
Op. MD. Barış Özgürol
Orthopedic Surgery
Liv Hospital Samsun
Op. MD. Metehan Saraçoğlu
Orthopedics and Traumatology
Liv Bona Dea Hospital Bakü
Spec. MD. İsmayıl Meherremli
Orthopedics and Traumatology
Liv Bona Dea Hospital Bakü
Spec. MD. Şehriyar Fetullayev
Orthopedics and Traumatology
Assoc. Prof. MD. Bülent Karslıoğlu
Orthopedic Surgery
Assoc. Prof. MD. Engin Çetin
Orthopedic Surgery
Assoc. Prof. MD. Turan Bilge Kızkapan
Orthopedic Surgery
Prof. MD. Oğuz Cebesoy
Orthopedic Surgery
Send us all your questions or requests, and our expert team will assist you.
Biologically, it takes about 6 to 8 weeks for the tendon to heal enough to withstand light force. However, full remodeling and return to full strength can take 6 to 12 months.
The surgery itself is done under anesthesia. Post-operative pain is managed with medication. Tendon surgeries can be painful in the first few days, but the pain usually subsides quickly as long as the limb is kept still.
Yes, all surgeries leave scars. However, surgeons make incisions along natural skin lines whenever possible to minimize visibility. Minimally invasive techniques also result in smaller scars.
Usually, you will be immobilized in a splint or cast for the first few weeks to protect the repair. However, controlled motion often starts early under the guidance of a therapist to prevent stiffness.
For partial tears, you might heal with therapy. For complete ruptures, the muscle will retract, and you may permanently lose strength and function in that specific movement.
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