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Вмешательство проводится, когда консервативные методы лечения (покой, физиотерапия, медикаментозная терапия) оказываются недостаточно эффективными [1](https://smt-clinic.ru/details/ahilloplastika).\n\n\n\n## Показания\nОперация рекомендована в случаях, когда консервативное лечение неэффективно или невозможно [8](https://medic-group.ru/operations/plastika-akhillova-sukhozhiliya/): \n* полные разрывы сухожилия (особенно застарелые, старше 2–3 недель) [8](https://medic-group.ru/operations/plastika-akhillova-sukhozhiliya/); \n* повторные разрывы после предыдущего сшивания [8](https://medic-group.ru/operations/plastika-akhillova-sukhozhiliya/); \n* дегенеративные изменения на фоне хронического воспаления (тендинит, тендинопатия) [8](https://medic-group.ru/operations/plastika-akhillova-sukhozhiliya/); \n* невозможность сблизить концы сухожилия без натяжения из-за дефекта тканей [8](https://medic-group.ru/operations/plastika-akhillova-sukhozhiliya/).\n\n## Противопоказания\nНекоторые противопоказания к ахиллопластике: \n* обострения хронических заболеваний (например, диабет, болезни сердца) [6](https://curare.clinic/service/travmatologiya-i-ortopediya/operaciya-na-ahillovom-suhozhilii); \n* тяжёлое общее состояние пациента, которое не позволяет перенести операцию (например, выраженные проблемы с сердечно-сосудистой системой или инфекционные заболевания) [6](https://curare.clinic/service/travmatologiya-i-ortopediya/operaciya-na-ahillovom-suhozhilii); \n* возрастные ограничения — у пожилых людей может быть повышенный риск осложнений при операции [6](https://curare.clinic/service/travmatologiya-i-ortopediya/operaciya-na-ahillovom-suhozhilii); \n* инфекции в области травмы, которые могут стать причиной осложнений после хирургического вмешательства [6](https://curare.clinic/service/travmatologiya-i-ortopediya/operaciya-na-ahillovom-suhozhilii).\n\n## Методика проведения\nСуществует несколько техник ахиллопластики [1](https://smt-clinic.ru/details/ahilloplastika): \n* **Открытая пластика** — традиционный метод, предполагает длинный разрез вдоль задней поверхности пятки и голени [1](https://smt-clinic.ru/details/ahilloplastika). Через открытый доступ хирурги удаляют повреждённую ткань и укрепляют оставшуюся здоровую часть сухожилия специальными материалами или тканями самого пациента [1](https://smt-clinic.ru/details/ahilloplastika). \n* **Эндоскопическая пластика** — менее инвазивный вариант, предполагает применение эндоскопа — специального инструмента с видеокамерой и микроинструментами [1](https://smt-clinic.ru/details/ahilloplastika). Инструменты вводят внутрь через маленькие проколы, что снижает нагрузку на окружающие ткани и ускоряет реабилитацию [1](https://smt-clinic.ru/details/ahilloplastika). \n\nОперация проводится под спинальной или общей анестезией, в зависимости от сложности случая и состояния пациента [8](https://medic-group.ru/operations/plastika-akhillova-sukhozhiliya/). В среднем вмешательство занимает 1,5–2 часа [8](https://medic-group.ru/operations/plastika-akhillova-sukhozhiliya/).\n\n## Реабилитация\nПосле операции нога фиксируется ортезом или гипсовой лонгетой в положении лёгкого подошвенного сгибания — это снижает натяжение сухожилия и создаёт оптимальные условия для заживления [8](https://medic-group.ru/operations/plastika-akhillova-sukhozhiliya/). \n\n**Средний срок полной реабилитации** после ахиллопластики — от трёх месяцев до полугода [1](https://smt-clinic.ru/details/ahilloplastika). Сроки индивидуальны и зависят от возраста, исходной физической формы пациента и скрупулёзности выполнения всех предписаний реабилитолога [14](https://imedcentre.com/imedorthopedics/tpost/2fytd6tmo1-razriv-ahillova-suhozhiliya-ot-operatsii).","linksData":[{"sourceId":1,"url":"https://smt-clinic.ru/details/ahilloplastika","shownUrl":"https://smt-clinic.ru/details/ahilloplastika","title":"Ахиллопластика. Записаться. 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