Tratamiento de ruptura de tendón calcáneo no reciente con uso de aloinjertos. Reporte de serie de casos. (Spanish)

Rupture of Achilles tendon occurs at 2-6 cm from its attachment in the calcaneus; its frequency is estimated at 7-18 cases per 100,000 population in the United States and it occurs more frequently in males. The diagnosis is made clinically and with ultrasound or magnetic resonance imaging and treatment may be divided into acute or late. We present herein the use of allograft to treat patients with ruptures more than six weeks old; several techniques were used depending on the rupture site and the available allograft. Ten plasties were performed in ten patients with ruptures that occurred a mean of 8 months back; early rehabilitation was instituted and weight bearing was allowed at 4 weeks with a brace, which was removed at 12 weeks; patients could run at 12 weeks. Four wound dehiscence complications were reported, which resolved with second intention healing without the need for any other surgery, with good results and patient satisfaction. [ABSTRACT FROM AUTHOR]

La ruptura del tendón calcáneo se presenta a nivel de 2 a 6 cm de su inserción en el calcáneo, se ha estimado entre 7 y 18 casos por 100,000 habitantes en Estados Unidos, más frecuente en hombres, el diagnóstico se lleva a cabo con la clínica y ultrasonido o resonancia magnética, el tratamiento se puede dividir en agudo o tardío, presentamos el tratamiento con aloinjerto en pacientes con rupturas con más de 6 meses de evolución, se utilizaron diversas técnicas dependiendo del lugar de la ruptura y del aloinjerto que se tenía. Se realizaron diez plastías en 10 pacientes con tiempo promedio de ruptura de 8 meses, se inició la rehabilitación en forma temprana y apoyo a las 4 semanas con ortesis y retiro de la misma a las 12 semanas, inicio de carrera a las 12 semanas, 4 complicaciones de dehiscencia de herida que se resolvió con cicatrización por segunda intensión, sin requerir de algún otro procedimiento quirúrgico, con buenos resultados y conformidad del paciente. [ABSTRACT FROM AUTHOR]

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