Manejo quirúrgico actual de la rotura del tendón de aquiles.

Abstract

Achilles tendon rupture is very common in patients who perform physical activity and in those who do not, recovery entails an extensive period of daily activities. Objective: The objective of this study is to provide health professionals with an update by reviewing scientific articles and thus renew knowledge on the timely diagnosis and updated surgical management of acute Achilles tendon ruptures. Materials and methods: This project is a descriptive, recapitulatory study in which 15 scientific articles related to the subject in the health area were studied, on the pages, Google, Redalyc, Dial net among others, contributing as a support of great relevance in the study of this research. Conclusion: Among methods for the management of a TA injury we have surgical and non-surgical treatment, focusing on the surgical approach that has advanced over the years. The percutaneous technique is safe, with a high rate of neuronal damage (sural nerve). Another technique is the open one, also effective, with the sequelae correlated to skin and soft tissue or surgical area, The minimally invasive procedure has a low eaten of postoperative infection and the risk of injuring the sural nerve is low. Currently, percutaneous restoration by endoscopy is mentioned, a technique that directly observers the TA suturing process, ruling out the risks of the percutaneous method.