Achilles Tendon Rupture
Achilles tendon ruptures are among the most common sports injuries. Hobby athletes who are a little out of practice can be affected just as much as well-trained athletes. Even if there is no pre-existing damage, the tendon can tear during an awkward jump or asymmetrical lunge.
The Achilles tendon is the strongest tendon in the human body. It is located on the heel bone and is the direct connection to the calf muscles.
Pre-existing damage to the tendon, as well as chronic inflammation (Achillodynia), weaken the tendon tissue and increase the probability of rupture. The tendon usually tears at its narrowest point, but ruptures can also occur at the base of the tendon.
What are the Symptoms of an Achilles Tendon Rupture?
When the Achilles tendon tears, a whip-like sound can be heard. The sound is especially noticeable if the tear occurs as a result of a sudden movement. After the tear, the person affected experiences severe pain above the heel. The back of the ankle and the calf swell up.
After an Achilles tendon rupture, the ankle is no longer fully functional, which leads to a restriction of movement. The tip of the foot can no longer be lowered towards the sole of the foot.
How is an Achilles Tendon Rupture Treated?
Therapeutic measures distinguish between operative and conservative therapy.
A fresh Achilles tendon rupture is surgically treated in active patients, as an anatomical reconstruction can be performed with a minimal procedure. This usually involves a direct suture. The chances of healing are very high with a fresh rupture. After surgery on the Achilles tendon, the risk of another tendon rupture is lower than after conservative treatment.
Outdated ruptures can also be reconstructed, but a direct suture is not possible in all cases. Often there is a tendon defect that must be corrected by a tendon extension.
Older patients prefer conservative therapy for Achilles tendon ruptures.
What Does the Follow-Up Treatment for an Achilles Tendon Rupture Look like?
Postoperatively, a special orthosis must be worn for 6-8 weeks, which is only removed for physiotherapy exercises.
