After allowing a few minutes for the anesthetic to take effect ... an incision will be made in the long axis of the ankle over the injured tendon. The incision is carried down through the skin, exposing the underlying tendon sheath. Patient Education The sheath is then opened to reveal the tendon itself and the contained, damaged Achilles tendon. The damaged portion of the tendon is then cut away, taking as little tissue as possible, but cutting back to strong, viable tendon fibers. The surgeon weaves sutures through the tendon fibers in a pattern designed to hold with good strength. Then the two tendon ends are pulled into contact and tied securely. Finally, the incisions are closed with sutures. After sterile dressings are applied, a well-padded splint will be fitted. Patient Education Company