Injuries - Ruptured
Achilles tendon is the largest tendon in the human body. It is a strong, fibrous band that
connects the calf muscle to the heel. The calf is actually formed by two muscles, the underlying
soleus and the thick outer gastrocnemius. Together, they form the gastroc-soleus muscle group.
When they contract, they pull on the Achilles tendon causing your foot to point down and helping
you raise up on your toes. This powerful muscle group helps when you sprint, jump, or
Several different problems can occur that affect the Achilles tendon. In severe cases, the
tendon may even rupture. The classic example is the middle aged tennis player who places too
much stress on the tendon. In some instances, the rupture may be preceded by a period of
tendonitis which renders the tendon weaker than normal.
As we age, a tendon is subject to degeneration within the
substance of the tendon. The term degeneration means that wear and tear occurs in the tendon
over time and leads to a situation where the tendon is weaker than normal.
Degeneration in a tendon usually shows up as a loss of the normal
arrangement of the fibers of the tendon. Tendons are made up of strands of a material called
collagen (think of a tendon as similar to a nylon rope and the strands of collagen as the nylon
strands). Some of the individual strands of the tendon become jumbled due to the degeneration,
other fibers break, and the tendon loses strength. The healing process in the tendon causes the
tendon to become thickened as scar tissue tries to repair the tendon. This process can continue
to the extent that a nodule forms within the tendon. This condition is called tendonosis. The
area of tendinosis in the tendon is weaker than normal tendon.
The weakened, degenerative tendon sets the stage for the
possibility of actual rupture of the Achilles tendon.
Surgery is often suggested if you have a ruptured Achilles
tendon. Repair is acheived by reattaching the two ends of the torn tendon. This procedure is
usually done through an incision on the back of the ankle near the Achilles tendon. There are
numerous ways that have been used to actually repair the tendon, but most all involve sewing the
two ends of the tendon together in some fashion. There are some repair techniques that have been
developed to minimize the size of the incision.
After surgery, you will most likely be placed in a cast, or
brace, to protect the repair and the skin incision. A cast or brace will probably be required
for 6-8 weeks. An injury like this must be rested. Sadly
this rarely happens when the patient is forced to use crutches to stay mobile and recovery can
take longer. The Orthopaedic Leg Trolley offers a practical solution to increase mobility and
actively encourage recovery.
If you have suffered from a ruptured Achilles tendon and would
like further details on the Orthopaedic Leg Trolley please contact us.
I am an orthopaedic
surgeon at the Royal Orthopaedic Hospital in Birmingham and last week ruptured my Achilles
Tendon whilst playing squash. Fortunately I had to spend only one day on crutches and an
unpleasant day it was too. After a morning on the wards and an afternoon in the clinic I had
blisters on my hands and chest wall and was exhausted.
Since then I have been using K9 and it has
proved to be a revelation. I have done ward rounds, clinics and a full day operating
(including major spinal surgery) with only the minimal discomfort and inconvenience.
P Roberts F.R.C.S.