Percutaneus repair in acute Achilles tendon rupture. Our experience in Chile

Publication date: Available online 20 November 2019Source: Fuß & SprunggelenkAuthor(s): Keller Andrés, Mococain Pablo, Wagner Emilio, Wagner Pablo, Zanolli DiegoAbstractBackgroundThere is still no consensus in the literature regarding the ideal treatment of acute Achilles tendon ruptures.Materials & MethodsWe conducted a selective literature review and analyzed our own results.ResultsOpen surgery offers good functional results, but presents high rates of surgical wound complications. Conservative treatment is also described as a good option, but rerupture rates are significantly higher than with surgical treatment. On the other hand, percutaneous treatment offers great functional outcomes with minimal soft tissue damage, making it for us our treatment of choice in this type of injury.OutlookIn Chile, we have been developing some modifications to the original technique described by the Dresden Group in order to increase tensile forces of the repair and offer our patients a quicker and safer recovery.ZusammenfassungHintergrundBislang gibt es noch keinen Konsens in der Literatur bezüglich der idealen Therapie der akuten Achillessehnenruptur.Material & MethodenWir führten eine selektive Literaturübersicht durch und analysierten unsere eigenen Behandlungsergebnisse.ResultateDie offene Achillessehnennaht führt zu guten funktionellen Ergebnissen, weist aber auch einen hohen Prozentsatz an Wundkomplikationen auf. Die konservative Therapie ist ebenfalls als gute Behandlungsoptio...
Source: Fuss and Sprunggelenk - Category: Podiatry Source Type: research