Theirs two methods of surgery available, the percutaneous method which requires a few incisions. This enables the skin to remain relatively unbroken and as such less chance of infection (quicker skin healing). Their is potential for nerve damage due to restricted access/view.
Open surgery is what I expect to be used for me but I'm happy for my surgeon to use the method he feels is most appropriate. The larger incision allows him more room to work, this increases the risk of infection but does reduce the possibility of nerve damage. In my opinion it allows him the best chance of doing a good strong fix for me. (remember I'm hardly likely to give up my passion for activity).
The protocol I have planned (depending on the discussion I have with the specialist) is that following the tendon repair no weight bearing for ten days. Hopefully using an aircast boot walking can begin. I am worried that they will put me in a leg cast (if they do I'll have to "roll with the punches") which can lead to weakness and atrophy of muscle. A treatment pioneered by Dr. Myerson, recommends "a removable boot is worn and instead of using crutches, walking is commenced very rapidly after surgery. Therapy and exercises are begun soon after surgery. This therapy process is critical in the recovery after tendon rupture, and without a carefully monitored program, full recovery is never possible. This treatment has made a huge difference in the recovery process for both recreational and professional athletes."
The sooner I get working on it the better. (by working on it I don't mean weight training, I mean maintaining flexibility, trying to keep the muscles working, massage, walking, various therapies etc).