Subcutaneous suturing of the ruptured Achilles tendon under local anaesthesia.
Debate concerning the appropriate treatment of ruptures of the Achilles tendon still continues. Conservative treatment can be associated with a high incidence of re-rupture and with relative weakness and lengthening of the triceps surae but with low costs. Surgical treatment contributes to a much lower incidence of re-rupture but can be associated with significant complications as well as with time loss and high costs of hospitalization. Subcutaneous reconstruction combines the advantages of surgical and non-surgical management. Operating with local anaesthesia reduces hospitalization time and operative costs; there are also almost no contraindications for the operation. The functional results in 36 patients operated on in this way are encouraging.
Kosanović
M
M
Department of Trauma Surgery, General Hospital Celje, Slovenia.
Cretnik
A
A
Batista
M
M
D000125:Achilles Tendon / Q000293:injuries* / Q000601:surgery*; D000328:Adult; D000772:Anesthesia, Local; D006801:Humans; D008297:Male; D008875:Middle Aged; D012421:Rupture; D013536:Suture Techniques