{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T10:31:48Z","timestamp":1778668308228,"version":"3.51.4"},"reference-count":15,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Sports Med"],"published-print":{"date-parts":[[1995,6]]},"abstract":"<jats:p>The rupture of the Achilles tendon is frequently sports-related. In the time from 1 January, 1978 until 31 December, 1988, we treated 358 men and 54 women with such an injury at the Staatliche Orthopaedische Klinik in Munich. The average age of these patients was 43 years. The site of the rupture was generally located between 3-5 cm proximal of the distal insertion of the tendon. In the follow-up examination of 122 patients with surgical treatment of tendo calcaneus ruptures 85% showed 'good' to 'very good' subjective results. Of the operated patients 97% would choose the same treatment under similar circumstances. The isokinetic studies demonstrated a loss of static and dynamic strength in plantar flexion of the ankle joint of 9.1%, and 16.7% respectively, when compared to the healthy contralateral side. The ultrasound examination revealed a thickening of the tendon and of the dorsal paratenon with changes in the internal structure of the injured Achilles tendon. In spite of these favourable results, the high complication rate of 15.1% shows the need for new and extensive studies regarding the various alternative treatment forms, such as functional, non-operative options, to finally resolve the debate about the optimal treatment of Achilles tendon ruptures.<\/jats:p>","DOI":"10.1136\/bjsm.29.2.121","type":"journal-article","created":{"date-parts":[[2008,12,15]],"date-time":"2008-12-15T19:55:24Z","timestamp":1229370924000},"page":"121-125","source":"Crossref","is-referenced-by-count":49,"title":["Surgical treatment of ruptures of the Achilles tendon: a review of long-term results."],"prefix":"10.1136","volume":"29","author":[{"given":"M","family":"Krueger-Franke","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C H","family":"Siebert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Scherzer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1995,6,1]]},"reference":[{"key":"ref_1","article-title":"Gesammelte Medizin. 10. Jahrgang Bannd 2","author":"Hurd, A.","year":"1876","unstructured":"Hurd A. Gesammelte Medizin. 10. Jahrgang Bannd 2, Berlin, Germany; 1876."},{"key":"ref_2","article-title":"Achillessehnenruptur und Sport","author":"Arndt, K.-H.","year":"1976","unstructured":"Arndt K-H. Achillessehnenruptur und Sport. Leipzig Germany: Johann Ambrosius Barth Verlag 1976."},{"key":"ref_3","first-page":"266","article-title":"Die Ultraschallsonographie in der Diagnostik und Verlaufskontrolle der Achillessehnenruptur","volume-title":"Unfallchirurg","volume":"92","author":"Thermann, H.; Zwipp, H.; Milbradt, H.; Reimer, P.","year":"1989","unstructured":"Thermann H, Zwipp H, Milbradt H, Reimer P. Die Ultraschallsonographie in der Diagnostik und Verlaufskontrolle der Achillessehnenruptur. Unfallchirurg 1989; 92: 266."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1055\/s-2007-993594","article-title":"Ein Innovatives Konzept zur primarfunktionellen Behandlung der Achillessehnenruptur","volume":"4","author":"Zwipp, H.; Suedkamp, Thermann H.; N, Tscheme; H, Milbradt; H, Reimer P.Heintz; P.","year":"1990","unstructured":"Zwipp H, Thermann H. Suedkamp N, Tscheme H, Milbradt H, Reimer P. Heintz P. Ein Innovatives Konzept zur primarfunktionellen Behandlung der Achillessehnenruptur. Sportverl Sportschaden 1990; 4: 29.","journal-title":"Sportverl Sportschaden"},{"key":"ref_5","first-page":"55","article-title":"Die Achillessehnenruptur - 10 Jahresspatergebnisse nach operativer Behandlung. Eine retrospektive Studie","volume-title":"Unfallchirurg","volume":"92","author":"Zwipp, H.; Suedkamp, N.; Thermann, H.; Samek, N.","year":"1989","unstructured":"Zwipp H, Suedkamp N, Thermann H, Samek N. Die Achillessehnenruptur - 10 Jahresspatergebnisse nach operativer Behandlung. Eine retrospektive Studie. Unfallchirurg 1989; 92: 55."},{"key":"ref_6","first-page":"906","article-title":"Zur Technik der Sehnennaht","volume":"40","author":"Kirchmayr, L.","year":"1917","unstructured":"Kirchmayr L. Zur Technik der Sehnennaht. Zbl Chir 1917; 40: 906.","journal-title":"Zbl Chir"},{"key":"ref_7","first-page":"109","volume":"130","author":"Burchhardt, H.; Krebs, U.; Schlemminger, R.; Orthop, Stankovic P.Achillessehnenruptur Z.","year":"1992","unstructured":"Burchhardt H, Krebs U, Schlemminger R, Stankovic P. Achillessehnenruptur. Z Orthop 1992; 130: 109."},{"key":"ref_8","first-page":"111","article-title":"Die operative Behandlung der frischen subkutanen Achillessehnenruptur und deren Behandlungsergebnis","volume":"13","author":"Mayer, M.; Donner, U.; Strosche, H.","year":"1989","unstructured":"Mayer M, Donner U, Strosche H. Die operative Behandlung der frischen subkutanen Achillessehnenruptur und deren Behandlungsergebnis. Akt Traumatol 1989; 13: 111.","journal-title":"Akt Traumatol"},{"key":"ref_9","first-page":"111","article-title":"Entwicklung der Achillessehnenruptur im Skisport Akt Traunatol","volume":"13","author":"Suckert, K.; Benedetto, K.P.; Vogel, A.","year":"1983","unstructured":"Suckert K, Benedetto KP, Vogel A. Entwicklung der Achillessehnenruptur im Skisport Akt Traunatol 1983; 13: 111."},{"key":"ref_10","first-page":"186","volume":"8","author":"Viernstein, K.; Achillessehnenrupturen, Galli H.","year":"1964","unstructured":"Viernstein K, Galli H. Achillessehnenrupturen. Wiederherstellungschir Traumatol 1964; 8: 186.","journal-title":"Wiederherstellungschir Traumatol"},{"issue":"1955","key":"ref_11","first-page":"471","article-title":"Gibt es unvollstandige Risse der Achillessehne?","volume":"80","author":"Schoenbauer, H.R.","unstructured":"Schoenbauer HR. Gibt es unvollstandige Risse der Achillessehne? Zbl Chir 80 1955; 12: 471.","journal-title":"Zbl Chir"},{"key":"ref_12","article-title":"The blood supply of the calcaneal tendon","author":"Carr, A.J.; Norris, S.H.","year":"1989","unstructured":"Carr AJ, Norris SH. The blood supply of the calcaneal tendon. J Bone Joint Surg 1989; 71-B: 100.","journal-title":"J Bone Joint Surg"},{"key":"ref_13","first-page":"491","article-title":"Vascular distribution in the Achilles tendon","volume":"116","author":"Lagergren, C.; Lindholm, A.","year":"1989","unstructured":"Lagergren C, Lindholm A. Vascular distribution in the Achilles tendon. Acta Chir Scand 1989; 116: 491.","journal-title":"Acta Chir Scand"},{"key":"ref_14","first-page":"29","article-title":"The blood supply of the Achilles tendon","volume":"16","author":"Schmidt-Rohlfing, B.; Graf, J.; Schneider, U.; Niethard, F.U.","year":"1992","unstructured":"Schmidt-Rohlfing B, Graf J, Schneider U, Niethard FU. The blood supply of the Achilles tendon. Intern Orthopaedics 1992; 16: 29.","journal-title":"Intern Orthopaedics"},{"key":"ref_15","first-page":"156","article-title":"Achilles tendon rupture. A review of the literature comparing surgical versus non-surgical treatment","volume":"207","author":"Wills, C.A.; Caiozzo, Washburn S.; V, Prietto; C.A.","year":"1986","unstructured":"Wills CA, Washburn S. Caiozzo V, Prietto CA. Achilles tendon rupture. A review of the literature comparing surgical versus non-surgical treatment. Clin Orthop 1986; 207: 156.","journal-title":"Clin Orthop"}],"container-title":["British Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bjsm.29.2.121","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T20:59:42Z","timestamp":1754081982000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjsm.bmj.com\/lookup\/doi\/10.1136\/bjsm.29.2.121"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,6]]},"references-count":15,"journal-issue":{"issue":"2","published-online":{"date-parts":[[1995,6,1]]},"published-print":{"date-parts":[[1995,6]]}},"alternative-id":["10.1136\/bjsm.29.2.121"],"URL":"https:\/\/doi.org\/10.1136\/bjsm.29.2.121","relation":{},"ISSN":["0306-3674","1473-0480"],"issn-type":[{"value":"0306-3674","type":"print"},{"value":"1473-0480","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,6]]}}}