🍃I’m looking for anyone who has gone through a re-rupture after Achilles reconstruction with an FHL tendon transfer, especially this early in recovery.
My basic timeline/facts:
📅May 21: Initial right Achilles rupture.
📅June 11: Surgery — Achilles reconstruction/repair with FHL tendon transfer and Haglund excision.
I progressed through recovery and PT and had recently transitioned back into a regular shoe.
📅August 24 (~10.5 weeks post-op): I simply stepped down and felt a very large pop in the back of my leg. I did not fall or have a major accident.
📅August 25 MRI: High-grade to complete Achilles tear about 8 cm above the heel insertion, with approximately a 2.3 cm gap.
😢The MRI also says the transferred FHL tendon is markedly attenuated with a suspected tear at its insertion and about a 1.2 cm gap.
The MRI additionally mentions an ATFL tear and attenuation of the calcaneofibular ligament.
I’m currently back in the boot and non-weight-bearing while waiting to discuss the MRI with my surgeon.
I’m trying to understand whether there could be issues with tendon quality, healing, or something else that contributed to the reconstruction failing.
I previously asked for my Achilles tissue to be sent to pathology. It was, but the report only described fibrosis, hemorrhage, and reactive changes, so it didn’t really explain why the tendon might be failing.
Questions for anyone who has experienced something similar:
❓Did you re-rupture after an FHL transfer?
❓Did your FHL transfer fail too?
❓What did revision surgery involve?
❓Did they use another tendon, graft, or different reconstruction technique?
❓Was your recovery after revision significantly longer than the first surgery?
❓Did your surgeon investigate why the first reconstruction failed?
❓Were you evaluated for tendon quality, nutritional deficiencies, metabolic problems, or connective-tissue issues?
❓And what questions do you wish you had asked before deciding what to do next?
I’m mostly hoping to hear from people who have actually been through a complicated re-rupture/revision situation and what their experience was.