Roturas del tendón de Aquiles operadas con técnica percutánea: resultados quirúrgicos y complicaciones posoperatorias. [Achilles tendon ruptures operated on with percutaneous technique: surgical results and post-operative complications.]

• Autores: Francisco Javier Sanchez Villanueva, Hernan Hoffmann Heise, Carlos Bustamante San Martin
• Localización: Revista de la Asociación Argentina de Ortopedia y Traumatología, ISSN 1852-7434, Vol. 83, Nº. 2, 2018, págs. 113-117
• Idioma: español
• DOI: 10.15417/issn.1852-7434.2018.83.2.796
• Títulos paralelos:
  • Achilles tendon ruptures operated with percutaneous technique: Surgical results and post-operative complications
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• Resumen
  • español

    Introduction: Achilles tendon ruptures have increased considerably in recent years. Treatment of these lesions can be either conservative or surgical. Despite extensive literature, no gold standard exists. Surgical options include open surgery, mini-open surgery and percutaneous technique. The objective of this study was to characterize the clinical presentation and to report surgical results and complications in patients with ruptured Achilles tendon treated surgically with percutaneous technique.

    Methods: A retrospective descriptive study was carried out. Adult patients were included, and clinical and epidemiological data were obtained. All patients were operated on with percutaneous technique using the Dresden Instrument.

    Results: Sixty patients were enrolled. All presented pain, and 92% had also associated Thompson’s sign and palpable gap. Complementary images were requested in 7 patients (12%). Average time until surgery was 4.28 days. Seven patients presented minor post-operative complications.

    Conclusions: Achilles tendon ruptures are a prevalent pathology in older active population and weekend athletes. Diagnosis is mostly clinical; however, some patients may require complementary images for diagnosis. Strong evidence in the literature suggests that surgical treatment is superior to the classic conservative treatment. In comparison with open surgery, percutaneous technique has shown better aesthetic results and fewer complications.

  • English

    Las roturas del tendón de Aquiles han aumentado considerablemente en los últimos años. El tratamiento de estas lesiones puede ser conservador o quirúrgico. Pese a la vasta literatura, no existe un “patrón de referencia” para el tratamiento de estas lesiones. Las opciones quirúrgicas incluyen la cirugía abierta, mini-invasiva y técnica percutánea. El objetivo de este estudio fue caracterizar la presentación clínica y mostrar los resultados quirúrgicos y las complicaciones en pacientes con rotura del tendón de Aquiles tratados con técnica percutánea.

    Materiales y Métodos: Se realizó un estudio descriptivo retrospectivo. Se incluyeron pacientes adultos y se obtuvieron datos clínicos y epidemiológicos. Todos fueron operados con técnica percutánea con raquetas de Dresden.

    Resultados: Se incluyó a 60 pacientes. Todos tenían dolor y el 92% presentaba también signo de Thompson y brecha palpable. A 7 pacientes (12%) se les solicitaron imágenes complementarias. El tiempo promedio hasta la cirugía fue de 4.28 días. Siete pacientes sufrieron complicaciones posoperatorias menores.

    Conclusiones: Las roturas del tendón de Aquiles son una patología prevalente en la población activa de mayor edad y en deportistas de fin de semana. El diagnóstico es clínico; sin embargo, algunos pacientes pueden requerir imágenes complementarias para el diagnóstico. La evidencia nos demuestra que el tratamiento quirúrgico es superior al tratamiento conservador clásico. En comparación con la técnica abierta, la técnica percutánea logra mejores resultados estéticos y menos complicaciones.

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