Manejo en la ruptura del tendón calcáneo

Abstract

INTRODUCTION: In the last decade, the incidence of Achilles tendon rupture has increased significantly, with a greater predominance in sports activities and in young and active men. The management of this injury has been controversial. OBJECTIVE: To determine the management of the calcaneal tendon rupture, to provide better health care. METHODOLOGY: We conducted searches in academic and scientific databases, such as PubMed, Google Scholar and Scielo, using search terms such as "calcaneal tendon rupture", "achilles tendon", "management", "treatment". We selected articles published in indexed journals during the period from 2018 to 2023, which specifically addressed the management of the rupture of the calcaneal tendon or achilles tendon. DEVELOPMENT: Conservative treatment such as surgical treatment can provide good results. Conservative treatment, previously involving immobilization with plaster, has evolved towards shorter periods of immobilization; however, it still carries a risk of re-rupture and other side effects, such as muscle hypotrophy. Surgical treatment offers more effective repair, but may be associated with wound complications. Despite this, surgery has been shown to reduce the rate of tendon re-rupture. There are a variety of surgical techniques, such as end-to-end repair, thin plantar plasty, and circumferential sutures. CONCLUSION: There are no significant differences in long-term outcomes between conservative and surgical treatment of Achilles tendon rupture.