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Ruptur der Achillessehne : Argumente für die Nahtversorgung
Publikationstyp
Journal Article
Date Issued
2000
Sprache
German
Author(s)
Sarvary, A.
Mühlenfeld, K.
Sotonyi, P.
Baranyi, G.
Journal
Volume
2
Issue
5
Start Page
157
End Page
159
Citation
Trauma und Berufskrankheit 2 (5): 157-159 (2000)
Publisher
Springer
The treatment of subcutaneous Achilles tendon rupture aims toward a strong, healed tendon that allows physical and athletic activities at pretrauma levels. This stability can be attained with a minimum of complications using open or minimally invasive suturing techniques, if certain technical recommendations (early operation, no use of tourniquets, simple suture techniques, degradable suture materials, early onset of physical therapy) and contraindications (diabetes mellitus, general healing problems and local risks, restriction of venous or arterial perfusion, smoking, primarily inactive patients) are kept in mind. Operative techniques require no special infrastructure. Our experimental work on human tendons demonstrates the high primary stability of applied suture techniques that allow early physical therapy. Using this concept of operative treatment and early physical therapy with an orthosis, the therapeutic goal can be reached in the shortest time and with the lowest possible rates of rerupture and functional disability.
DDC Class
610: Medicine, Health