Rezultati praćenja nakon liječenja rupture ahilove tetive metodom modificiranog perkutanog šava

Achilles tendon ruptures are treated by various surgical methods as well as by conservative procedures. Recent surgical methods are aimed at surgical trauma reduction; however, there are few literature reports on the follow-up results of such treatment. Unlike percutaneous technique, we used a smaller incision to visualize approximation of the ruptured tendon ends. The aim of the study was to evaluate follow-up results after Achilles tendon rupture treatment by the technique of modified percutaneous suture. One minor incision of approximately 1-1.5 cm was made laterally of the rupture location, while the suture was placed at both ends percutaneously. All patients operated on by this method at Department of Plastic Surgery, Karlovac General Hospital, during a 2-year period (Jan 1, 2001 - Dec 31, 2002) were analyzed. Minimal follow-up of six months was necessary to satisfy the inclusion criteria. Results were evaluated by the Trillat scoring system. Eleven patients were operated on, age range 29-42 (mean 36.6) years and follow-up 7-16 (mean 11.2) months. According to the Trillat scoring system scale, nine (81.8%) patients met the criteria for "excellent result" and two (18.2%) patients were in the "good result" group. This technique was found to provide excellent results in our sample, thus we prefer it to other methods. The sample was rather small, thus a larger series with a longer follow-up should be assessed in a future study.Rupture Ahilove tetive liječe se raznim operacijskim metodama, ali i konzervativnim postupcima. Operacijske tehnike primjenjivane posljednjih godina nastoje smanjiti operacijsku traumu, no malo je podataka u literaturi o kasnim rezultatima takvog liječenja. Umjesto perkutane tehnike odlučujemo se za manju inciziju radi vizualizacije aproksimacije rupturiranih krajeva tetive. Cilj studije bila je analiza kasnih rezultata liječenja rupture Ahilove tetive modificiranim perkutanim šavom. Primijenjena je manja incizija dužine oko 1-1,5 cm lateralno u visini mjesta rupture, a šav je postavljen dalje perkutano. Analizirani su rezultati u svih bolesnika operiranih tim načinom na odsjeku Plastične kirurgije Opće bolnice Karlovac u dvogodišnjem razdoblju (1.1.2001. - 31.12.2002.). Uvršteni bolesnici zadovoljavali su kriterij minimalnog praćenja od 6 mjeseci. Rezultati su procijenjeni ocjenskom ljestvicom po Trillatu. Dob bolesnika bila je od 29 do 42 godine, prosječno 36,6 godina, a razdoblje praćenja bilo je od 7 do 16 mjeseci, prosječno 11,2 mjeseci. Prema ocjenskoj ljestvici po Trillatu devetoro (81,8%) bolesnika je zadovoljavalo kriterije za "odličan" rezultat, dok ih je dvoje (18,2%) bilo u skupini "dobar" rezultat. Primijenjena tehnika na našem uzorku bolesnika dala je odlične rezultate, pa joj dajemo prednost u odnosu na druge tehnike. Uzorak je još malen, pa bi bilo korisno prikupiti podatke iz veće skupine bolesnika uz duže razdoblje praćenja