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Achilles Tendon Ruptures

Kapitel i bok
Författare Jón Karlsson
Olof Westin
Mike Carmont
Katarina Nilsson-Helander
Publicerad i Sports Injuries of the Foot and Ankle: A Focus on Advanced Surgical Techniques. Gian Luigi Canata, Pieter d'Hooghe, Kenneth J. Hunt et al. (red.)
Sidor 369-376
ISBN 978-3-662-58704-1
Förlag Springer
Förlagsort Berlin
Publiceringsår 2019
Publicerad vid Institutionen för kliniska vetenskaper, Avdelningen för ortopedi
Sidor 369-376
Språk en
Länkar https://doi.org/10.1007/978-3-662-5...
Ämnesord Achilles tendon rupture, Biomechanics, Etiology, Clinical signs, Surgical treatment, Nonsurgical treatment
Ämneskategorier Kirurgi, Ortopedi

Sammanfattning

Achilles tendon ruptures are increasing in incidence, with the greatest incidence in the over 60s age group. The rehabilitation time following this injury is prolonged and patients have calf weakness of up to 30%. There is debate over the optimal method of management between nonoperative and operative repair, followed by rehabilitation. Aims of treatment are to restore activities of daily living and sports activity with minimal complications. Operative treatment reduces tendon elongation, minimizes calf weakness, and may depending upon the age of the patient reduce the re-rupture rate. Open repair is the traditional operative technique although there is increasing evidence of the effectiveness of percutaneous and minimally invasive surgery. The avoidance of early weight-bearing does not prevent tendon lengthening. Nonoperative treatment consisting of 2 weeks in cast followed by the use of an adjustable external equinus corrected brace and rehabilitation shows low re-rupture rates and allows patients to return to daily activities without a problem. Management of Achilles tendon rupture must be tailored to individual patient requirements for the resumption of day-to-day activities, return the return to sport with optimal ankle plantar flexion strength and the risk of re-rupture.

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