Akut Aşil Tendon Rüptürlerinde Cerrahi ve Cerrahi Dışı Tedavi Yöntemlerinin Karşılaştırılması: Bir Derleme

Öz

Anahtar Kelimeler

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Akut Aşil Tendon Rüptürlerinde Cerrahi ve Cerrahi Dışı Tedavi Yöntemlerinin Karşılaştırılması: Bir Derleme

Öz

Aşil tendon kopması sonucu hastalarda ciddi sakatlık görülmektedir, tedaviden bağımsız olarak 2 yıl devam eden işlevsel kayıplara neden olmaktaır ve elit sportmenlerin yalnızca %50-60’ı yaralanma öncesi seviyelerine dönebilmektedir. İnsidans artışı ile birlikte, tedavide seçenekleri cerrahi ve cerrahi dışı tedavi seçeneklerini içermektedir. Yapılan prospektif randomize çalışmalar operatif ve nonoperatif tedavi sonuçları arasında önemli bir fark gösterememektedir. Derlememizin amacı rerüptür oranları, komplikasyonlar ve fonksiyonel sonuçlar açısından cerrahi ve konservatif tedaviyi kıyaslamaktır

Anahtar Kelimeler

• Aşil, rüptür, cerrahi tedavi, rehabilitasyon

Kaynakça

1. Metzl JA, Ahmad CS, Levine WN. The ruptured Achilles tendon: operative and non-operative treatment options. Current Reviews in Musculoskeletal Medicine 2008;1(2):161-164.
2. Leppilahti J, Puranen J, Orava S. Incidence of Achilles tendon rupture. Acta Orthop Scand 1996;67:277-9.
3. Lesic A, Bumbasirevic M. Disorders of the Achilles tendon. Orthop Trauma 2004;18:63-75.
4. van der Linden-van der Zwaag HM, Nelissen RG, Sintenie JB. Results of surgical versus non-surgical treatment of Achilles tendon rupturE. International Orthopaedics 2004;28: 370–373
5. Jozsa L, Kvist M, Balint BJ, Reffy A, Jarvinen M, Lehto M, Barzo M. The role of recreational sport activity in Achilles tendon rupture. A clinical, pathoanatomical, and sociological study of 292 cases. Am J Sports Med 1989;17:338–343
6. Leppilahti J, Puranen J, Orava S. Incidence of Achilles tendon rupture. Acta Orthop Scand 1996;67:277–279
7. Olsson N, Nilsson-Helander K, Karlsson J, Eriksson BI, Thomee R, Faxen E, Silbernagel KG. Major functional deficits persist 2 years after acute Achilles tendon rupture. Knee Surg Sports Traumatol Arthrosc 2011;19:1385-93.
8. Leppilahti J, Forsman K, Puranen J, Orava S. Outcome and prognostic factors of Achilles rupture repair using a new scoring method. Clin Orthop Rel Res 1998;346:152-61.

9. Kołodziej L, Bohatyrewicz A, Kromuszczyńska J, Jezierski J, Biedroń M. Efficacy and complications of open and minimally invasive surgery in acute Achilles tendon rupture: a prospective randomised clinical study--preliminary report.Int Orthop 2013;37(4):625-9.
10. Willits K, Amendola A, Bryant D, Mohtadi NG, Giffin JR, Fowler P, Kean CO, Kirkley A. Operative versus non-operative treatment of acute Achilles tendon ruptures: a multicenter randomized trail using accelerated functional rehabilitation. J Bone Joint Surg Am 2010;92:767-75.
11. Nilsson-Helander K, Silbernagel KG, Thomee R, Faxen E, Olsson N, Eriksson BI, Karlsson J. Acute Achilles tendon rupture: a randomized controlled study comparing surgical and non surgical treatments using validated outcome measure. Am J Sports Med 2010;38:2186-93.
12. Carmont MR, Rossi R, Scheffler S, Mei-Dan O, Beaufils P. Percutaneous & Mini Invasive Achilles tendon repair. Sports Med Arthrosc Rehabil Ther Technol 2011;14;3:28.
13. Soroceanu A, Sidhwa F, Aarabi S, Kaufman A, Glazebrook M. Surgical versus nonsurgical treatment of acute Achilles tendon rupture: a meta-analysis of randomized trials. J Bone Joint Surg Am 2012;5;94(23):2136-43.
14. Osarumwense D, Wright J, Gardner K, James L. Conservative treatment for acute Achilles tendon rupture: survey of current practice. J Orthop Surg (Hong Kong) 2013;21(1):44-6.
15. Fruensgaard S, Helmig P, Riis J, Stovring JO. Conservative treatment for acute rupture of the Achilles tendon. Int Orthop 1992;16:33–5. 16. Inglis AE,
16. Scott WN, Sculco TP, Patterson
17. AH. Ruptures of the tendo achillis. An objective assessment
18. treatment. J Bone Joint Surg Am 1976;58:990–3
19. Hufner TM, Brandes DB, Thermann H, Richter M, Knobloch K, Krettek C. Long-term results after functional nonoperative treatment of achilles tendon rupture. Foot Ankle Int 2006;27:167–71.
20. McComis GP, Nawoczenski DA, DeHaven KE. Functional tendon. Clinical results and analysis of ground-reaction forces and temporal data. J Bone Joint Surg Am 1997;79:1799–80
21. Cetti R, Christensen SE, Ejsted R et al. Operative versus non-operative treatment of Achilles tendon rupture. Am J Sports Med 1993;21:791–799
22. Thermann H, Zwipp H, Milbradt H et al. Die Ulltraschallsonographie in der Diagnostik und Verlaufskon- Unfallchirurg 1989; 92:266–273
23. Achillessehnenruptur.
24. van der Eng DM, Schepers T, Schep NW, Goslings JC. Rerupture Rate after Early Weightbearing in Operative Versus Conservative Treatment of Achilles Tendon Ruptures: A Meta-Analysis. J Foot Ankle Surg 2013;52(5):622-8.
25. Rosso C, Vavken P, Polzer C, Buckland DM, Studler U, Weisskopf L, Lottenbach M, Müller AM, Valderrabano V. Long-term outcomes of muscle volume and Achilles tendon length after Achilles tendon ruptures. Knee Surg Sports Traumatol Arthrosc 2013;21(6):1369-77.
26. Keating JF, Will EM. Operative versus non-operative treatment of acute rupture of tendo Achillis: a prospective randomised evaluation of functional outcome. J Bone Joint Surg Br 2011;93(8):1071-8.
27. Amendola A. Outcomes of open surgery versus nonoperative management of acute achilles tendon rupture. Clin J Sport Med 2014;24(1):90-1.