title: [Surgical treatment of chronic pain in the area of the Achilles tendon].
abstract: In 109 patients with painful Achilles tendons 139 primary operations were made. Peritenonectomy and scarification of the tendon were performed. As a criterium of success the ability to pursue the original sports activities was used. Of 109 subjects addressed 91 responded. Of these 63 pursue sports activities without restrictions, 20 have slight difficulties but pursue sports activities as before, six undergo further treatment, four changed the sports discipline and two abandoned sports. Indication for operation is based on a group of symptoms: morning stiffness, a positive finding on palpation of the tendon and failure of conservative treatment. In the authors' opinion the cause of complaints are inflammatory degenerative changes of the tendon and peritenon which prevent free movement of the tendon as a result of chronic overburdening.
authors.affiliation: Okresní ústav národního zdraví, Brno-venkov.
authors.forename: R
authors.initials: R
authors.lastname: Kania
authors.forename: R
authors.initials: R
authors.lastname: Krátký
mesh_terms: D000125:Achilles Tendon / Q000293:injuries / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D002648:Child; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D012421:Rupture; D052256:Tendinopathy / Q000601:surgery*
vernacular_title: Chirurgické lécení chronických bolestí v oblasti Achillovy slachy.