Les ruptures fraîches du tendon d'Achille--A propos de 14 cas traités conservativement [Acute ruptures of the Achilles tendon--apropos of 14 conservatively treated cases].
Détails
ID Serval
serval:BIB_A639D958AC55
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Les ruptures fraîches du tendon d'Achille--A propos de 14 cas traités conservativement [Acute ruptures of the Achilles tendon--apropos of 14 conservatively treated cases].
Périodique
Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera
ISSN
1023-9332 (Print)
ISSN-L
1023-9332
Statut éditorial
Publié
Date de publication
1998
Volume
4
Numéro
2
Pages
75-81
Langue
français
Notes
Publication types: English Abstract ; Journal Article ; Review
Publication Status: ppublish
Publication Status: ppublish
Résumé
GOAL OF THE STUDY: To analyse the results of non surgical treatment (cast for 12 weeks) for complete and recent rupture of Achilles tendon.
MATERIAL AND METHODS: We reviewed with an average follow up of 2 years 14 patients (14 ruptures). All patients evaluated subjective results on a linear scale. Objective results were given by clinical examination, ultrasonography and performance testing.
RESULTS: Subjective results were excellent for 50% of cases, good for 29% and fair for 21%. Amyotrophy of the calf was always noted (mean 15 cm). The maximum force was reduced by 22% and the endurance by 47% in comparison with the healthy calf. All sportsmen but one were able to continue their sport as before. None of them had to change their job.
DISCUSSION: The conservative treatment of fresh ruptured Achilles tendon by plaster cast for 12 weeks gives satisfactory results in comparison with surgical treatment followed by 6 weeks immobilisation. The results are not so good when compared to conservative or surgical treatment followed by immediate mobilisation.
CONCLUSION: Conservative treatment by plaster cast for 12 weeks should be applied to non compliant patients or to patients who are not concerned by the functional results or unable to follow a programme of reeducation or to patients with chronic skin lesions.
MATERIAL AND METHODS: We reviewed with an average follow up of 2 years 14 patients (14 ruptures). All patients evaluated subjective results on a linear scale. Objective results were given by clinical examination, ultrasonography and performance testing.
RESULTS: Subjective results were excellent for 50% of cases, good for 29% and fair for 21%. Amyotrophy of the calf was always noted (mean 15 cm). The maximum force was reduced by 22% and the endurance by 47% in comparison with the healthy calf. All sportsmen but one were able to continue their sport as before. None of them had to change their job.
DISCUSSION: The conservative treatment of fresh ruptured Achilles tendon by plaster cast for 12 weeks gives satisfactory results in comparison with surgical treatment followed by 6 weeks immobilisation. The results are not so good when compared to conservative or surgical treatment followed by immediate mobilisation.
CONCLUSION: Conservative treatment by plaster cast for 12 weeks should be applied to non compliant patients or to patients who are not concerned by the functional results or unable to follow a programme of reeducation or to patients with chronic skin lesions.
Mots-clé
Achilles Tendon/injuries, Acute Disease, Adult, Aged, Female, Follow-Up Studies, Humans, Immobilization, Male, Middle Aged, Tendon Injuries/diagnosis, Tendon Injuries/physiopathology, Treatment Outcome
Pubmed
Création de la notice
28/01/2008 12:12
Dernière modification de la notice
20/08/2019 15:11
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