Table 1.

Rehabilitation protocol following endoscopy-assisted percutaneous Achilles tendon repair

0–3 weeks	Range of motion: 20° of plantar flexion and 10° of dorsiflexion
3–6 weeks	Gentle isometric, eccentric, and concentric exercises with flexion
	Extension of the toes
	Full plantar flexion and dorsiflexion of the ankle to neutral in a supine position
	Extension of the knee in a sitting position
	Flexion of the knee in a prone position
	Extension of the hip in a prone position
6–10 weeks	Resistance exercises
	Rotation of the ankles
	Standing on the toes and heels
	Ankle stretching exercises for calf muscles, toes, and ankle
	Balance and proprioception exercises on different surface progress from bilateral to unilateral
	Controlled squats
	Lunges
	Bilateral calf raise (progressing to unilateral)
	Toe raises
	Controlled slow eccentrics versus body weight
10–↑ weeks	Start training jogging/running, jumping and eccentric-loading exercises
	Noncompetitive sporting activities
	Sports-specific exercises, and return to physically demanding sports and/or work

Notes: Copyright © 2009, Springer Verlag. Adapted with permission from Doral MN, Bozkurt M, Turhan E, et al. Percutaneous suturing of the ruptured Achilles tendon with endoscopic control. Arch Orthop Trauma Surg. 2009;129(8):1093–1101.14