Rehabilitation Guidelines for Achilles Tendon （为跟腱康复指导方针）.pdfVIP

Rehabilitation Guidelines for Achilles Tendon Repair The Achilles tendon is the strongest Fluoroquinolone antibiotics and direct and thickest tendon in the body. It steroid injections into the tendon.1 attaches the calf muscles (soleus The diagnosis of an Achilles tendon and gastrocnemius) to the heel bone rupture is made from clinical history, Figure 1 The dotted line represents the (calcaneus). The tendon transmits force physical exam and diagnostic testing. longitudinal incision used to expose the from the contracting calf muscles to ruptured Achilles tendon during surgical repair. Most patients who sustain an Achilles the calcaneus to cause the foot action of plantar flexion (foot pointed down) tendon rupture report a pop and a The incision is made medial to the that is important in walking, running, feeling of being kicked or shot in the tendon to improve skin healing and jumping and change of direction back of the leg. On exam, there is a to reduce the risk of scarring to the activities. Although the Achilles tendon palpable divot or gap in the area of the underlying tendon repair. Once the is the strongest tendon in the body, it is rupture along with significant swelling. incision is made and the rupture is also the tendon most commonly torn or Patients will demonstrate a positive identified (Figure 2), clamps are used to ruptured. The most common causes of Thompson test, performed by squeezing match the ends together in an optimal rupture are: