Analysis of Gait Parameters in Patients after Triple-Bundle Achilles tendon Reconstruction – Prospective Evaluation of 60 Patients at 3, 6 and 12 Months Post op

Authors

  • Magdalena Syrek Carolina Medical Center, Physiotherapy Department, Pory 78, 02-757 Warsaw, Poland Author
  • Urszula E Zdanowicz McGowan Institute for Regenerative Medicine, University of Pittsburgh, 450 Technology Drive, Suite 300, Pittsburgh, PA 15219-3110, USA Author
  • Robert Smigielski Biological Treatment Centre, Orthopaedics Department, LIFE Institute, Grzybowska 43a, 00-855, Warsaw, Poland Author
  • Michal Staniszewski Józef Piłsudski University of Physical Education in Warsaw, Department of Physical Education, Marymoncka 34, 00-809, Warsaw, Poland Author

DOI:

https://doi.org/10.47363/JPMRS/2021(3)139

Keywords:

Collagen Fibers, Tendons and ligaments, Achilles tendon

Abstract

The Achilles tendon is formed by collagen fibers running from the lateral and medial head of the gastrocnemius muscle and situated deeper soleus muscle. The fascicles are twisted so the fibers from the medial head of the gastrocnemius muscle are located posteriorly (superficially) and the fibers from the lateral head are located anteriorly (deeply). Thus, the fibers from the soleus muscle are located in the central and medial part of the tendon. These units, depending on the side, rotate as left- or right-handed screws (eg, left Achilles tendon rotates against clockwise). The significance of the torsion stems from the fact it occurs at the site where concentrated pressure applies potentially due to rupture enabling forces produced where all the tendon bundles meet. Independently, it is possible to distinguish each separate Achilles tendon musculotendinous unit during a thorough, detailed dissection.

Author Biographies

  • Magdalena Syrek, Carolina Medical Center, Physiotherapy Department, Pory 78, 02-757 Warsaw, Poland

    Carolina Medical Center, Physiotherapy Department, Pory 78, 02-757 Warsaw, Poland; Józef Piłsudski University of Physical Education in Warsaw, Department of Physiotherapy, Marymoncka 34, 00-809, Warsaw, Poland.

  • Urszula E Zdanowicz, McGowan Institute for Regenerative Medicine, University of Pittsburgh, 450 Technology Drive, Suite 300, Pittsburgh, PA 15219-3110, USA

    Carolina Medical Center, Orthopaedic and Sports Traumatology Department, Pory 78, 02-757 Warsaw, Poland, McGowan Institute for Regenerative Medicine, University of Pittsburgh, 450 Technology Drive, Suite 300, Pittsburgh, PA 15219-3110, USA

  • Robert Smigielski, Biological Treatment Centre, Orthopaedics Department, LIFE Institute, Grzybowska 43a, 00-855, Warsaw, Poland

    Robert Smigielski, Biological Treatment Centre, Orthopaedics Department, LIFE Institute, Grzybowska 43a, 00-855, Warsaw, Poland.

  • Michal Staniszewski, Józef Piłsudski University of Physical Education in Warsaw, Department of Physical Education, Marymoncka 34, 00-809, Warsaw, Poland

    Michal Staniszewski, Józef Piłsudski University of Physical Education in Warsaw, Department of Physical Education, Marymoncka 34, 00-809, Warsaw, Poland.

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Published

2021-09-15

Issue

Vol. 3 No. 3 (2021): Volume 3 Issue 3

Section

Articles