This podcast was originally broadcast on and is the intellectual property of The AOFAS Orthopod-Cast. In this episode of the AOFAS Orthopod-Cast, co-hosts Dr. Matthew Conti and Dr. Joseph Park sit down with Dr. Martin O'Malley to investigate the alarming spike in Achilles tendon ruptures among NBA players. The group explores the impact of single-sport specialization and year-round training on tendon health, while debating the merits of operative versus non-operative care for elite and recreational athletes. Dr. O'Malley shares his rationale for preferring open surgical repair to maximize tension and outlines his specific rehab protocols, including the use of slant boards to prevent atrophy. This conversation offers essential insights for surgeons and sports enthusiasts seeking to understand the mechanics behind these career-altering injuries and the path to optimal recovery.