Day 31: Orthopedic Doctor Shift - Surgery Recommendation and Decision

• Consulted a different orthopedic surgeon / sports medicine doctor
• Ultrasound confirms 2.55cm gap after 31 days from injury
• Initial decision to go non-surgical is still an option but foot cast is needed to put foot in equinus position.
• Foot cast is no longer an option as macerated skin needs to heal
• Routine surgery option is good for 6 to 8 weeks from day of injury otherwise the surgery will now be reconstructive (good tendon harvested and scarring removed).
• Non-surgery at this point will still make tendon healing possible at 85-90%
• Surgery timeline recommended till the end of the month, November 30
• Patient decided for surgery as soon as possible dependent on healing of macerated skin in foot
• Go signal needed from burn / plastic surgeon before achilles repair will proceed.