Surgery

• Requires an operation to open the skin and physically suture (sew) the ends of the tendon back together.
  
  
• Has a lower incidence of re-rupture than nonsurgical treatment.
  
  
• Allows return to pre-injury activities sooner and at a higher level of functioning with less shrinkage of muscle.
  
  
• Risks are associated with surgery: anesthesia, infection, skin breakdown, scarring, bleeding, accidental nerve injury, higher cost, and blood clots in the leg are possible after surgery.
  
  
• Surgery has been the treatment of choice for the competitive athlete or those with a high level of physical activity, for those with a delay in treatment or diagnosis, and for those whose tendons have ruptured again.