35-204
Tratamiento quirúrgico de las roturas del tendón de Aquiles.
Surgical treatment of the Achilles tendon ruptures.
J.A ALONSO, V. MARCO, A. LÓPEZ-SASTRE, J.J. GONZÁLEZ. SERVICIO DE TRAUMATOLOGÍA Y CIRUGÍA ORTOPÉDICA. HOSPITAL DE LEÓN.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
The objetive of this work was to asess the clinical
results and complications with the surgical treatment
for subcutaneous Achilles tendon ruptures. Twenty six
patients were clinically revised with a minimal follow up of
one year. We detailed the surgical technique and postoperative
management of the patients. Clinical results were
asessed with the next parameters: ankle joint motion; triceps
muscle strength; Achilles tendinous thickened; ; walking
limp; triceps muscle atrophy, posibility of sports practice
and definitive changes. We had excelent results in 21
cases (80.7%); good results in 5 cases (19.3%) and none
with fair or poor results. We detached 5 cases with inmediate
postoperative complications and one case of relapse ,
all of them with good clinical result. Our excelent and good
clinical results with the surgical technique for the Achilles
tendon ruptures allow us to recommend this treatment in
active patients, with appropiate health conditions in spite
of the age.
results and complications with the surgical treatment
for subcutaneous Achilles tendon ruptures. Twenty six
patients were clinically revised with a minimal follow up of
one year. We detailed the surgical technique and postoperative
management of the patients. Clinical results were
asessed with the next parameters: ankle joint motion; triceps
muscle strength; Achilles tendinous thickened; ; walking
limp; triceps muscle atrophy, posibility of sports practice
and definitive changes. We had excelent results in 21
cases (80.7%); good results in 5 cases (19.3%) and none
with fair or poor results. We detached 5 cases with inmediate
postoperative complications and one case of relapse ,
all of them with good clinical result. Our excelent and good
clinical results with the surgical technique for the Achilles
tendon ruptures allow us to recommend this treatment in
active patients, with appropiate health conditions in spite
of the age.
Palabras clave (ES):
Tratamiento
Aquiles
Tendón
Sutura
Rotura
Operatorio
Quirúrgico
Resumen (EN)
The objetive of this work was to asess the clinical
results and complications with the surgical treatment
for subcutaneous Achilles tendon ruptures. Twenty six
patients were clinically revised with a minimal follow up of
one year. We detailed the surgical technique and postoperative
management of the patients. Clinical results were
asessed with the next parameters: ankle joint motion; triceps
muscle strength; Achilles tendinous thickened; ; walking
limp; triceps muscle atrophy, posibility of sports practice
and definitive changes. We had excelent results in 21
cases (80.7%); good results in 5 cases (19.3%) and none
with fair or poor results. We detached 5 cases with inmediate
postoperative complications and one case of relapse ,
all of them with good clinical result. Our excelent and good
clinical results with the surgical technique for the Achilles
tendon ruptures allow us to recommend this treatment in
active patients, with appropiate health conditions in spite
of the age.
results and complications with the surgical treatment
for subcutaneous Achilles tendon ruptures. Twenty six
patients were clinically revised with a minimal follow up of
one year. We detailed the surgical technique and postoperative
management of the patients. Clinical results were
asessed with the next parameters: ankle joint motion; triceps
muscle strength; Achilles tendinous thickened; ; walking
limp; triceps muscle atrophy, posibility of sports practice
and definitive changes. We had excelent results in 21
cases (80.7%); good results in 5 cases (19.3%) and none
with fair or poor results. We detached 5 cases with inmediate
postoperative complications and one case of relapse ,
all of them with good clinical result. Our excelent and good
clinical results with the surgical technique for the Achilles
tendon ruptures allow us to recommend this treatment in
active patients, with appropiate health conditions in spite
of the age.
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