Operative Versorgung von Achillessehnenverletzungen View Full Text


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Article Info

DATE

2005-08

AUTHORS

C. Wagner, G. Zimmermann, A. Moghaddam, S. Studier-Fischer, B. Vock, A. Wentzensen

ABSTRACT

Rupture of the Achilles tendon is typically associated with sportive activities with increasing tendency; it occurs most commonly in the third to fourth decade of life with a male-to-female ratio of 5–10:1. Ruptures are caused predominantly by a sudden, unexpected overextension of the tendon while direct trauma is less frequent. The recommended treatment of the injury remains controversial. In Germany, due to the good functional results, the open surgical repair represents the standard therapy since many years. The open suture technique offers the advantage of a lower re-rupture rate but is associated with the risk of wound-related complications including infection. By percutaneous suture techniques a significant decrease in the rate of infections and complications in wound healing could be achieved by minimal-access with reduced soft tissue trauma; on the other hand an increased rate of lesions of the sural nerve is reported. Dynamic imaging assessment of ultrasound or MRI allows a more accurate localisation of the ruptured ends of the tendons which is the prerequisite for the non-operative primary functional treatment of Achilles tendon ruptures. This conservative treatment regime is recommended when adaptation of the ends of the ruptured tendon is possible in 20° plantar flexion of the foot. Moreover, the desired level of daily activity and the patients’ degree of compliance has to be considered. Operative management should be avoided in the elderly patient or patients with risk factors like immunosuppressive therapy, diabetes mellitus, steroid use or failure to comply. More... »

PAGES

168-174

References to SciGraph publications

  • 2003-09. Die nicht erkannte und unbehandelte Achillessehnenruptur in DER ORTHOPÄDE
  • 1999-01-01. Die Behandlung der Achillessehnenruptur in DER ORTHOPÄDE
  • 2003-08. Operative Behandlung ausgedehnter peritendinöser Verkalkungen nach offener Achillessehnennaht—ein Fallbericht in DER UNFALLCHIRURG
  • 1998-09-01. The “insidious” rupture of the achilles tendon after ciprofloxacin induced tendinopathy. A case report in DER UNFALLCHIRURG
  • 2000-08-01. Die frische Achillessehnenruptur in DER ORTHOPÄDE
  • 2004-07-07. Results of surgical versus non-surgical treatment of Achilles tendon rupture in INTERNATIONAL ORTHOPAEDICS
  • 2001-12. Achillessehnenrupturen und -durchtrennungen in TRAUMA UND BERUFSKRANKHEIT
  • 1998-04-01. Die Behandlung der Achillessehnenruptur in DER UNFALLCHIRURG
  • 1996-11. Aktueller Stand der Behandlung von Achillessehnenrupturen Ergebnisse einer bundesweiten Umfrage in DER CHIRURG
  • 2002-06. Die Naht der frischen Achillessehnenruptur Vergleich der offenen mit einer perkutanen Nahttechnik in DER CHIRURG
  • 2002-08. Frühfunktionelle Behandlung der operativ versorgten Achillessehnenruptur in DER UNFALLCHIRURG
  • 2005-07. Die perkutane Achillessehnennaht mit dem Dresdner Instrument in DER UNFALLCHIRURG
  • 2000-03. Achillessehnenruptur in DER ORTHOPÄDE
  • 1999-08. Semifunktionelle Nachbehandlung operativ versorgter Achillessehnenrupturen in TRAUMA UND BERUFSKRANKHEIT
  • 2000-09. Die Deckung von Weichteildefekten und instabilen Narben über der Achillessehne durch freie mikrochirurgische Lappenplastiken in DER CHIRURG
  • 1998-07. Surgical repair of Achilles tendon rupture in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10039-005-1035-5

    DOI

    http://dx.doi.org/10.1007/s10039-005-1035-5

    DIMENSIONS

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    115 therapy
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