Abstract

SANCHEZ VILLANUEVA, Francisco J; HOFFMANN HEISE, Hernán  and  BUSTAMANTE SAN MARTIN, Carlos. Roturas del tendón de Aquiles operadas con técnica percutánea: resultados quirúrgicos y complicaciones posoperatorias. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2018, vol.83, n.2, pp.113-117. ISSN 1852-7434.

Introduction: Achilles tendon ruptures have increased considerably in recent years. Treatment of these lesions can be either conservative or surgical. Despite extensive literature, no gold standard exists. Surgical options include open surgery, mini-open surgery and percutaneous technique. The objective of this study was to characterize the clinical presentation and to report surgical results and complications in patients with ruptured Achilles tendon treated surgically with percutaneous technique. Methods: A retrospective descriptive study was carried out. Adult patients were included, and clinical and epidemiological data were obtained. All patients were operated on with percutaneous technique using the Dresden Instrument. Results: Sixty patients were enrolled. All presented pain, and 92% had also associated Thompson's sign and palpable gap. Complementary images were requested in 7 patients (12%). Average time until surgery was 4.28 days. Seven patients presented minor post-operative complications. Conclusions: Achilles tendon ruptures are a prevalent pathology in older active population and weekend athletes. Diagnosis is mostly clinical; however, some patients may require complementary images for diagnosis. Strong evidence in the literature suggests that surgical treatment is superior to the classic conservative treatment. In comparison with open surgery, percutaneous technique has shown better aesthetic results and fewer complications.

Keywords : Achilles tendon; Percutaneous technique; Surgical complications.

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