Abstract

ANTUNES, Artur et al. Sutura percutânea de rotura aguda do tendão de Aquiles em atletas utilizando Tenolig® Revisão de 30 casos. Rev. Port. Ortop. Traum. [online]. 2013, vol.21, n.2, pp.209-214. ISSN 1646-2122.

Introduction: Rupture of the Achilles tendon has a growing incidence by increasing informal sports. Several studies have compared the treatment options, surgical versus medical treatment, there is still no consensus. In the surgical approach, the percutaneous method has been increasingly used. We found this increase in our institution. The objetive of this study is to evaluate the functional outcome and post rupture and rerrupture rate in patients undergoing percutaneous Achilles tendon surgery. Material: We conducted a retrospective study of 30 patients with rupture of the Achilles tendon during sports, undergoing surgery with percutaneous Tenolig ® between 2007 and 2008. We excluded tears with more than 8 days of evolution, patients not followed at the institution after surgery, open wounds, associated with fluoroquinolones and patients with neurological or vascular pathology. Methods: The functional assessment was classified using the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score. We accessed via questionnaire the level of physical activity pre and post injury (occasional, mild or severe). The rate of rerrupture was calculated by clinical process review and clinical evaluation. Results: In this group of 30 patients (70% male), the mechanism of injury were sports - 80% football and 20% running. In relation to activity level, 16.6% of patients had occasional activity, 46.6% had mild activity and 36.6% intense. During follow-up, 86.6% of patients had an average AOFAS hindfoot score of good (80 to 100 points). In the same period, the activity level was 23.3% for occasional activity / inactivity, 53.3% had mild activity and 23.3% had intense activity. We obtained a rerrupture rate of 10%, on average 4 months after surgery, with no statistically significant value. All rerruptures were surgically intervened by classic open approach. Discussion: The most common mechanism of injury, sport, is consistent with data present in the literature. We found a decrease in physical activity between the preand post-injury, although 86.6% of patients presented an AOFAS hindfoot score of good. We found a rate of rerrupture than expected for the procedure, although without statistically significant value. Conclusion: Our data suggests a decline in physical activity after a ruptured Achilles tendon. In our institution, the rate of rebreakage with using Tenolig ® was not statistically significant.

Keywords : Achilles tendon rupture; percutaneous; Tenolig®.

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