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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2010, Number 3

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Rev Esp Med Quir 2010; 15 (3)

Experience in the management of the Achilles tendon rupture with Kessler technique

Mejía RC, Pérez SA, Pedraza LO

Language: Spanish
References: 22
Page: 125-130
PDF size: 67.45 Kb.


ABSTRACT

Objective: To evaluate the surgery with Kessler technique and treatment in postoperative patients with ruptured Achilles tendon.
Patients and method: We performed an observational, longitudinal, retrospective and exploratory study including all the patients (51 patients) with clinical diagnosis of Achilles tendon rupture treated surgically with the technique of Kessler in the Regional Hospital General Ignacio Zaragoza from March 2007 to March 2009. This work analyzed the information collected through a questionnaire tabulated manually to each patient.
Results: 51 patients were operated: 11 females and 40 males; predominant patients (24) were between 36 and 45 years old. Of the 51 patients, 78.4% were men and 21.5% women; in all groups the most affected pelvic limb was the right (56.8%). Most patients had no complications, three (5.8%) with delayed healing and two (3.9%) with pain persistance. With regard to mobility, the extension in our patients (47 of them [92%]) and flexion (46 [90%]) were excellent. Most patients (82.3%) returned to their normal activities at eight weeks and only in five of them (9.8%) the return to normal activities took more than 10 weeks.
Conclusions: Although the Achilles tendon operation can be performed with many types of approaches, success depends on knowledge of anatomy, surgeon experience, technique he dominates and management of complications. At the hospital we concluded that our management to repair the Achilles tendon with Kessler technique was good and agreed with the literature, also the minimum complication rate was consistent with international references.


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