Abstract

RAIMONDI, Nicolás; MASSETTI, Sergio  and  VILLADA, Andrés. Tratamiento de la lesión aguda del tendón de Aquiles mediante una técnica mínimamente invasiva sin nudos. Rehabilitación y carga de peso inmediata. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2021, vol.86, n.3, pp.356-364. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2021.86.3.1153.

Introduction: Modern surgical techniques seek to rehabilitate early for recovery in less time. Minimally invasive techniques are one option to accomplish this. Objective: To evaluate the ability to start rehabilitation and weight bearing in the immediate post-operative period and the evolution at 6 months postoperative using a minimally invasive knotless technique. Materials and Methods: 10 surgical repairs of acute Achilles tendon injuries were performed with a minimally invasive technique. The original Arthrex combination system (PARS - SpeedBridgeTM) was used. After 48 hours, weight bearing was progressively allowed according to tolerance. The final outcome at 6 months was evaluated using the ATRS score. Results: On average, patients took 14 days to walk without crutches. All began rehabilitation with active and passive ankle range of motion during the first postoperative week. The average ATRS score was 79 points (between 60 and 90 points). Conclusion: This technique has proven to be an excellent surgical option in acute midsubstance Achilles tendon injuries. The patients were able to start rehabilitation within the first postoperative week, whereas immediate weight bearing was not possible, due to the patients´ pain or fear.

Keywords : Achilles tendon; minimally invasive technique; knotless technique; early rehabilitation.

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