Chávez ADD, Díez GMP, Avendaño BD, Escobedo TVM, Renán LS

Language: Spanish
References: 13
Page: 61-64
PDF size: 39.52 Kb.

ABSTRACT

Introduction: The Achilles´ tendon is a common disease in the orthopedic rehabilitation services. Presents a relation men:women 12:1, 75% occurs in non professional athletes. Objective: The nowadays treatments are based on surgical reparation, with the application of a plaster cast for 6 weeks in equinous ankle position that’s why present discapacity. Our job after of surge is to use a plaster boot in a neutral position, searching for the best rehabilitation in the minor time. Material and methods: 112 patients with Achilles´ tendon rupture between 2000-2002 in the National Rehabilitation Institute, the surgical technique was terminal plasty and a plaster boot for 6 weeks. Initial rehabilitation, week 1-6, with joint mobilization, muscular strengthening, walking with crutches. On week 7-9, removal of the plaster cast boot, a 3 cm increment oh the shoe heel, therapeutic tank, walking reeducation labor integration week 10. Results: Masculine 77%, Feminine 23%, Injured mechanism 100% Sport, Average age, 34 years old, Metabolic alteration 100%, Complete mobility arch 100%, Normal muscular strength. Statistics: Test Z Student p ‹ 0.002. Discussion: The Achilles´ tendon rupture rehabilitation was directed to maintain of mobility arches, muscular strength and the retrain or the propulsion of the walking (Malt, Booth; Nistor 1990). Conclusion: The rehabilitation program obtained the functional recuperation of the patients, and the labor integration and sports in 10 weeks, too.

REFERENCES

1. Campbell. Cirugía ortopédica. Edit Panamericana 1988: 2186-2192.

2. Some CK. Madelbaum Achilles tendon disorders. Clin Sport Med 1994; 13: 811-823.

3. Galloway MT. Achilles tendon overuse injuries. Clin Sports Med 1992; 1: 771-782.

4. Astrom M. Blood flow in chonics Achilles tendopathy. Clin Orthop 1994; 308: 166-172.

5. Veyama Y. Familial hypercholesterolemia like syndrome with apolipoproteins E7 syndrome makef Achilles tendon xantomas and coronary artery disease. A report of two cases. J Inter Med 1994; 235: 169-74.

6. Kimura J. Electrodiagnosis in diseases of nerve and muscle principles and practice. Edit 2. Davis Company Philadelphia Chapter 12: 228-247.

7. Kalebo P. Diagnostic valve of ultrasonography in partial rupture of Achilles tendon. J Am Sport Med 1987; 20: 378-81.

8. Nistor L. Surgical and nonsurgical treatment of Achilles tendon rupture. J Bone and Joint Surgery 1982; 63A:3: 394-398.

9. Loscher Electromyographic responses of the human triceps sural and force tremor during sustained submaximal isometric plantar flexion. Acta Physiol Scan 1994; 152: 73-82.

10. Creccoti M. An electromyographic analysis of knee during functional activies. American Orthopaedics Society for Sport Medicine 1994; 22(5): 645-49.

11. Saleh M. The Sheffield splint for controlled early mobilization after rupture of the calcaneo tendon. J Bone Joint Surg 1992; 74B: 206-9.

12. Batzopoulus. Early mobilization after operative repair of ruptured Achilles tendon. Injury 1993; 24(7): 479-484.

13. Chuchucka SE. Inflammation cellurity and fibrillogenesis in regenerating tendon. Implications for tendon rehabilitation. Physical Theraphy 1989; 69: 397-400.