Abstract

ARZAC ULLA, Ignacio R; DE SILVESTRI, Adrián  and  FIORENTINI, Gustavo. Comparación entre la cirugía abierta y el método mínimamente invasivo para roturas agudas del tendón de Aquiles. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2016, vol.81, n.4, pp.274-280. ISSN 1852-7434.

Introduction: Surgical repair can be performed by open or minimally invasive surgery techniques. The percutaneous technique combines the advantages of the open treatment with orthopedic surgery. The aim of this study is to compare minimally invasive Dresden technique described by Amlang with conventional open surgery. Methods: Between March 2010 and September 2013, 45 patients were surgically treated using conventional open surgery (15 cases) or percutaneous Dresden technique (15 cases). Patients were divided into two groups according to the surgical method used and then the results were comparatively analyzed. Surgical method was selected at random, provided that it was performed within 7 days after rupture. Results: Comparative results of surgical time, muscle trophism, length of scar, and comparative difference in the twin perimeter calf are reported. AOFAS score at 5 months: 90 in group A and 95 in group B. Average time to return to work: group A, 7 months; group B, 3.53 months. Mean time to return to sport activity: group A, 12.22 months; group B, 6.53 months. Conclusions: Dresden technique is a good option for Achilles tendon ruptures; with good clinical and functional outcome minimizing the risk of rupture and sural nerve injury.

Keywords : Achilles tendon rupture; Open repair; Percutaneous repair; Comparison.

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