2003, Number 5
Acta Ortop Mex 2003; 17 (5)
Achilles tendon: Incidence and experience in its management
Delgado BH, Cristiani DG, Aspe ME
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The Achilles tendon rupture has increased it’s frequency in the world. The etiology is multifactorial, although It seems there are hystopathological changes the may predispose the rupture. Usually the patients suddenly show pain and a sort of a snap in the calf. It’s common that this event become present during a sport activity. The diagnosis is most by clinic, founding a gap in the posterior part of the calf; although other studies may be useful. The treatment depends about the patients conditions, although is mainly solve by surgery. The conservative treatment it’s oriented to ancient people or patient with deleterious conditions where a surgical procedure may compromise their life. In this research we included 55 patients with an Achilles tendon rupture. The diagnosis was done by clinic but also we practiced an ultrasound exam as a tool to confirm the rupture. In all of our patients, the treatment was surgical using non absorbable suture and affronting end to end of the tendon. In the postoperative treatment we use a splint in equinus for six weeks. We had three complications, one of them need a new surgical procedure. All of them was resolved. We consider that our results are good according the literature.
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