medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2012, Number 2

<< Back Next >>

Acta Ortop Mex 2012; 26 (2)

Repair of Achilles tendon rupture and early rehabilitation

Delgado-Brambila HA, Cristiani-DG, Tinajero-EC, Burgos-Elías V

Language: Spanish
References: 29
Page: 102-106
PDF size: 49.14 Kb.


ABSTRACT

The frequency of Achilles tendon tear has increased worldwide. Several factors have been described that help explain the mechanism of injury. The treatment of choice continues to be surgery; conservative treatment is reserved for patients with a high morbidity and mortality. Surgical treatment consists of an open or percutaneous technique. In both modalities we try to achieve prompt mobilization of the operated tendon to obtain better and quicker healing. This prospective study describes our experience with 35 patients enrolled from February 2004 to August 2010. They were treated with open repair, physical rehabilitation and active ankle mobilization before the second postoperative week, and with colchicine. We obtained satisfactory results. Patients recovered complete mobility approximately at postoperative week 6, and from weeks 8 to 10 they could resume their daily work activities and participate in sports and recreational activities. Patients were assessed according to the ATRS classification to measure their clinical results. We had no infections or other major complications. We conclude that the open surgical repair of Achilles tendon tear, prompt mobility, and colchicine provide good results.


REFERENCES

  1. Rosenzweig S, Azar F: Open repair of acute Achilles tendon ruptures. Foot Ankle Clin Orthopaedics and Sports Medicine 2009; 14(4): 699-709.

  2. Hess G: Achilles tendon rupture: a review of etiology, population, anatomy, risk factors and injury prevention. Foot Ankle Spec 2010; 3(1): 29-32.

  3. Parck D, Chow C: Stretching for prevention of Achilles tendon injuries: a review of the literature. Foot Ankle Int 2006; 27(12): 1086-95.

  4. Wochenschr M: Fluoroquinolone-induced Achilles tendon rupture. Dutsch Med 2008; 133(6): 241-4.

  5. September A, Schwellnus M: Tendon and ligament injuries: the genetic component. M Br J Sports Med 2007; 41(4): 241-6.

  6. Pufe T, Petersen W: Mechanical factors influence the expression of endostatin –an inhibitor of angiogenesis– in tendons. J Orthop Res 2003; 21(4): 610-6.

  7. Molloy A, Wood E: Complications of the treatment of Achilles tendon ruptures. Foot Ankle Clin 2009; 14(4): 745-59.

  8. Braun D, Petitpain D: Achilles tendon rupture associated with combination therapy of levofloxacin and steroid in four patients and a review of the literature. Foot Ankle Int 2007; 28(12): 1287-9.

  9. Sorrenti S: Achilles tendon rupture: effect of early mobilization in rehabilitation after surgical repair. Foot Ankle Int 2006; 27(6): 407-10.

  10. Ozkaya U, Parmaksizoglu T: Open minimally invasive Achilles tendon repair with early rehabilitation: Injury 2009; 40(6): 669-72.

  11. Andrej Č, Kosanović M: Percutaneous versus open repair of the ruptured Achilles tendon. A comparative study. The Am J Sports Medicine 2005; 33: 1369-79.

  12. Holmenschlager F, Schubert S: Achilles tendon rupture: early dynamic mobilization after surgery. Zentralbl Chir 2002; 127(6): 519-22.

  13. Ozkaya U, Parmaksizoglu: Open minimally invasive Achilles tendon repair with early rehabilitation. Injury 2009; 40(6): 669-72.

  14. Delgado H, Cristiani G: Ruptura del tendón de Aquiles: incidencia y experiencia en su manejo. Acta Ortop Mexicana 2003; 17(5): 248-52.

  15. Dominguez H, Eleiran-Ruíz A: Clinic an cellular effects of colchicine in fibromatosis. Cancer 1992; 69(10): 2478-83.

  16. Mandelbaum B, Myerson M: A new method of repair, early range of motion and functional rehabilitation of Achilles tendon ruptures. Am J Sports Med 1995; 23(4): 392-5.

  17. Thompson T, Doherty J: Spontaneous rupture of tendon of Achilles: a new clinical diagnostic test. J Trauma 1962; 2: 126-9.

  18. Healy B, Beasley R: Venous thromboembolism following prolonged cast immobilization for injury to the tendon Achilles. J Bone Joint Surg Br 2010; 92(5): 646-50.

  19. Bunnell S: (USA, 1882-1957): Pai da cirurgia da mão. J Bone Joint Surg Br 1958; 40: 488-90.

  20. Nilsson-Helander K, Thomee R, Gravare-Silbernagel K, et al: Achilles tendon total rupture score (ATRS). The Achilles tendon total rupture score (ATRS): Development and validation. Am J Sports Med 2007; 35: 421-6.

  21. Suchak A, Bostick G: The incidence of Achilles tendon ruptures in Edmonton, Canada. Foot Ankle Int 2005; 26(11): 932-6.

  22. Järvinen TA, Kannus P: Achilles tendon disorders: etiology and epidemiology. Foot Ankle Clin 2005; 10(2): 255-66.

  23. Majewski M, Widmer KH: Achilles tendon ruptures: 25 years experience in sport-orthopedic treatment. Sportverletz Sportschaden 2002; 16(4): 167-73.

  24. Hüfner T, Gaulke: Conservative functional treatment of Achilles tendon ruptures. R Unfallchirurg 2010; 113(9): 699-704.

  25. Vavra-Hadziahmetović N, Hadziahmetović Z: Evaluation of functional treatment of the acute Achilles tendon rupture according to the Thermann score scale (ten years experience). Med Arch 2004; 58(4): 246-8.

  26. Quagliarella L, Sasanelli N: Comparative functional analysis of two different Achilles tendon surgical repairs. Foot Ankle Int 2010; 31(4): 306-15.

  27. Popovic N, Lemaire R: Diagnosis and treatment of acute ruptures of the Achilles tendon. Current concepts review. Acta Orthop Belg 1999; 65(4): 458-71.

  28. Ong BC, Trepman E: Achilles tendon surgery: S-shaped surgical approach and postoperative positioning to minimize wound tension and external pressure. Am J Orthop (Belle Mead NJ) 2001; 30(5): 433-4.

  29. Schweiz M: In vitro studies of the mechanical load capability of resorbable monofilament suture materials. Zahnmed 2009; 119(9): 876-80.




2020     |     www.medigraphic.com