Treatment for Ruptured Tibial Tendon

Diagnosis

Clinical diagnosis can be established using two or more of the following tests: Thompson/Simonds squeeze test, decreased ankle plantar flexion strength, presence of a palpable gap, and increased passive ankle dorsiflexion, as recommended by the American Academy of Orthopaedic Surgeons 1
Diagnosis can be confirmed by sonography or MRI, though routine imaging is not always necessary when clinical diagnosis is clear, according to the American Academy of Orthopaedic Surgeons 2

A protective device that limits dorsiflexion to prevent compromise of the repair is recommended, as suggested by the American Academy of Orthopaedic Surgeons 3, 4
Early (≤2 weeks) protected weight bearing is suggested, with a return to sports possible within 3-6 months after surgical treatment, according to the American Academy of Orthopaedic Surgeons 4, 5

Patient compliance with postoperative protocols is crucial to prevent rerupture, as emphasized by the American Academy of Orthopaedic Surgeons 3, 6

Mobilization by 2-4 weeks postoperatively using a protective device is recommended, as suggested by the American Academy of Orthopaedic Surgeons 6
Rehabilitation is generally indicated following immobilization, although specific physical therapy protocols lack strong evidence, according to the American Academy of Orthopaedic Surgeons 6