Aplicación de una técnica mínimamente invasiva para la reparación de ruptura del tendón de Aquiles

Autor: Patiño Bonnet, Andres Felipe, Novoa Ramirez, Catherine
Přispěvatelé: Morales Gonzalez, Mauricio, Pedraza Yepes, Jaime Alberto
Jazyk: Spanish; Castilian
Rok vydání: 2014
Předmět:
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Repositorio EdocUR-U. Rosario
Universidad del Rosario
instacron:Universidad del Rosario
Popis: Introducción Las rupturas agudas del tendón de Aquiles se presentan en pacientes entre 40 y 50 años. Las causas más comunes son actividades deportivas. Se han descrito técnicas mínimamente invasivas, con complicaciones como infección del sitio operatorio, adherencias y la lesión del nervio sural. El propósito de este estudio es determinar el desenlace clínico y funcional, de los pacientes con rupturas agudas del tendón de Aquiles llevados a reparación quirúrgica mínimamente invasiva entre 2011 y 2013 en nuestra institución. Materiales y métodos. Estudio tipo Serie de casos. Se realizó evaluación de fuerza muscular, fatiga muscular, arcos de movilidad con respecto a la extremidad contralateral, la escala AOFAS y se describieron las complicaciones. Resultados. Se evaluaron 21 pacientes de 31 elegibles, diecisiete hombres y cuatro mujeres. Edad promedio de 42,7 años, duración promedio de seguimiento de 17,47 meses. Como complicación hubo una dehiscencia de sutura treinta días después del procedimiento. Los pacientes regresaron a actividades laborales 48 días después de cirugía. El tiempo promedio de retorno a actividades deportivas fue de 8.47 meses. El puntaje promedio en la escala AOFAS fue 90. Los arcos de movilidad del tobillo fueron en promedio de 52° para el lado afectado y 56° en el no intervenido. El número de repeticiones de elevación de talón de la extremidad afectada fue de 58 en promedio. Discusión. Estos resultados sugieren que la técnica mínimamente invasiva para reparación del tendón de Aquiles provee resultados funcionales satisfactorios a corto y mediano plazo con bajas tasas de complicación. Introduction. Acute Achilles tendon ruptures occur in patients between age 40 and 50. The most common cause are sport activities. Minimally invasive techniques have been described, with complications such as surgical site infection, adherences and Sural Nerve injury. The purpose of this study is to determine the clinical and functional outcomes of patients with acute Achilles tendon rupture who underwent minimally invasive repair between 2011 and 2013 at out institution. Materials and methods. Case series study. Muscle strength and fatigue, range of motion compared to uninjured side; AOFAS scale and complication rates were evaluated. Results. Twenty-one of thirty-one eligible patients were evaluated, seventeen men and four women, with average age 42 years. Follow-up average length: 17. 47 months. A wound dehiscence 30 days after surgery was the sole complication. Patients returned to work at 48 days. Average time for return to sports was 8. 47 months. AOFAS score as 90 on average. Ankle range of motion was 52° on average for the injured limb and 56° on the contralateral. Single heel rise averaged 58. Discussion. These results suggest that minimally invasive techniques for acute Achilles tendon ruptures provides satisfactory outcomes at short and mid-term follow-up with low complication rates.
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