Injuries - Ruptured
The 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 climb.
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
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.