Engineering Transactions, 51, 2-3, pp. 325–337, 2003

Diagnostics and Treatment of Traumatic Damages to Achilles Tendon

K. Skiba
Wrocław University of Medicine

Traumatic damages of Achilles tendon constitute an important and serious problem in clinical practice. Many theories are applied in order to explain the pathomechanism of traumatic damages of Achilles tendon. Among them, there is a mechanical theory which claims that sudden and not co-ordinated contraction of the calf triceps muscle with plantarly bent foot and extended limb causes rupture of the tendon continuity. In clinical practice, Achilles tendon appeared more susceptible to rupture in persons over 35 when elasticity degree is reduced due to the tendon deformative lesions (fragmentation and collagen fibres homogenisation). In the Department of Traumatic Surgery and Hand Surgery of the Wrocław University of Medicine, since 1993, clinical surveys have been carried on upgrading the surgical treatment methods of traumatic and subcutaneous ruptures of the Achilles tendon. In years 1995–1999, the examinations were carried on in cooperation with the Institute of Material Science and Applied Mechanics, Wrocław University of Technology in order to explain the pathomechanism of traumatic lesions of Achilles tendon. New examination methods such as: ultrasonography, tomography, magnetic resonance as well as recent thermo-vision method contribute largely towards evaluation of both early and long-term results of operative treatment.
Keywords: Achilles tendon rupture; microsurgical reconstruction; biomechanics investigation; thermography; ultrasonography
Full Text: PDF
Copyright © Polish Academy of Sciences & Institute of Fundamental Technological Research (IPPT PAN).


H. BURCHARDT, U. KREBS, M. FUCHS, P. STANKOVIC, Die sonographische Beurteilung von Gleitverhalten und Gleitager operirter Achillessehnen, Unfallchirurg, 94, 589–593, 1991.

K. DUDEK, Thermography as diagnosis system, System Journal of Transdisciplinary System Science, 3, 2, 68–79, 1998.

U. HOLTZ, Achillessehnenruptur und Achillodynie, Fortschr. Med., 98, 39, 1517–1520, 1980.

S. KRUSZEWSKI, Temperature normal distribution and its physiological deviation in the thermographic image of lower limbs [in Polish], Medical Technique Problems, 7, 1976.

H. KUŚ, M. MACIEJEWSKA, R. RUTOWSKI, K. SKIBA, Microsurgical reconstruction of the rupture of Achilles tendon [in Polish], Locomotor Organs Surgery, Polish Orthopaedics, 53, SUPL., 3, 515–519, 1994.

H. KUŚ, R. RUTOWSKI, K. SKIBA, Microsurgical reconstruction of the rupture of Achilles tendon, the chapter in Selected Problems of Microsurgery [in Polish], Z. MACKIEWICZ, G. A. SZYMCZEWSKI, Published by Andromed, 99–104, Bydgoszcz 1998.

M. PRZYCHODZKI, Conservative treatment of subcutaneous lesions of Achilles tendon [in Polish], Locomotor Organs Surgery, Polish Orthopaedics, 38, 299–303, 1973.

G. RUPP, A. STEMBERGER, Versorgung frischer Achillessehnenrupturen mit resorbierbaren Nahtmaterial Fibrinkleber, Med. Welt, 29/796–798, 1978.

K. SKIBA, R. RUTOWSKI, The method of microsurgical reconstruction of ruptured Achilles tendon [in Polish), 4th Conference of Microsurgery 15–17.10.1997, Abstracts 60, Wrocław.

K. SKIBA, E. WICZKOWSKI, R. RUTOWSKI, R. ŻUCHOWSKI, Determination of tensile forces breaking of Achilles tendon, 32nd Solid Mechanics Conference Polish Academy of Sciences, Institute of Fundamental Technological Research, Zakopane, 1–5.09.1998, Abstracts, 339–340,

K. SKIBA, K. DUDEK, E. WICZKOWSKI, R. RUTOWSKI, M. SZUMARSKA, Application of the thermography in estimating limb fitness following surgical treatment of the Achilles tendon, Acta of Bioingeneering and Biomechanics, 2, Supl.l, 483–488, 2000.

M. SERAFIN-KRÓL, Locomotor organs ultrasonography [in Polish], W. JAKUBOWSKI.

H. THERMANN, H. ZWIPP, Achillessehnenruptur, Orthopaede, 18, 321–335, 1989.

H. THERMANN, T. HUFNER, H. TSCHENE, Achillessehnenruptur, Orthopaede, 29, 235–250, 2000.

E. WICZKOWSKI, Z. GABRYSZEWSKI, K. SKIBA, Analysis of the Achillestendon lengthening in the first physiological area, Acta of Bioingeneering and Biomechanics, 2, Supp.l, 591–598.

K. WILHELM, Die maximale statische und dynamische Belastbarkeit de Achillessehne beim Menschen im Eiperiment, Habilitationsschrifft 1972.

DOI: 10.24423/engtrans.493.2003