The Varying Treatments of Achilles Tendinitis

Abstract

The Achilles tendon is the strongest and thickest tendon in the human body. However, like any other tendon in the body, it is susceptible to rupture. There are many surgical approaches but the two main ones are a mini invasive approach using an Achillon Jig and a percutaneous approach. The two surgeries both have many advantages as well as their disadvantages. With any surgical approach, there is a certain amount of recovery time. Non-operative approaches are also options to consider. Surgery is the main choice for younger, athletic patients while elderly or non-athletic patients often consider a non-operative approach. Choosing a surgical approach is important because the age, athletic ability and rupture severity all play key roles in choosing a specific surgery as well as the outcome of the surgery.

Varying Treatment Options for the

Complete Rupture of the Achilles Tendon

The Achilles Tendon (AT) is the strongest and thickest tendon in the human body (Maqirriain, 2011). The biomechanics of the AT influence many human movements. Treatment of the AT rupture has been growing in attention based on the fact that it is a serious injury affecting approximately 18 in 100,000 people, typically males between 30 and 50 years of age (Maqirriain, 2011). The common site for the AT rupture is 2 to 6 cm from the calcaneal insertion which is a region that has a smaller cross sectional area than the rest of the tendon. For a reason yet unknown, the insertional area is able to withstand higher strains than the rest of the tendon without failing (Maqirriain, 2011).

Treatment of the AT rupture remains controversial with the two main treatments being surgical repair and conservative treatment. The clinical relevance of achieving an optimal length and tension during surgical repair of the AT can often be underestimated by surgeons and physical therapists (Maqirriain, 2011).

Current concepts in tendon mechanical behavior, surgery, and rehabilitation are crucial to...