RESUMEN
In the Unfallkrankenhaus Salzburg (Salzburg Trauma Hospital) 586 inpatients with a recent Achilles-tendon rupture (ATR) underwent treatment within the years 1967 to 1984. Sporting activities were the dominant cause of the lesion (75% of total cases). Due to the location of our hospital skiing injuries dominated within this group. Pathogenesis of the lesion is discussed according to type and mechanism of the injury. Surgical approach has clearly been the standard therapeutic procedure (475 patients), whereas conservative treatment (twelve patients) resulted in a distinctly higher rate of reruptures. Thus the latter approach should be chosen in patients only when local factors or general disease rule out surgery. Rerupture is the most serious long-term complication. Therefore those cases have been critically analyzed with special attention to the type of surgical approach. In two thirds of our patients we conducted a follow-up with a questionnaire. The average time post trauma in this group was 8.9 years. Results are presented considering comments of the patients as well as occurrence of complications in the various surgical procedures.
Asunto(s)
Tendón Calcáneo/lesiones , Traumatismos en Atletas/cirugía , Tendón Calcáneo/cirugía , Adulto , Femenino , Estudios de Seguimiento , Humanos , Masculino , Complicaciones Posoperatorias/etiología , Rotura , Técnicas de SuturaAsunto(s)
Sistema Digestivo/lesiones , Heridas no Penetrantes/cirugía , Adolescente , Adulto , Anciano , Niño , Procedimientos Quirúrgicos del Sistema Digestivo , Femenino , Humanos , Perforación Intestinal/cirugía , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/mortalidad , Pronóstico , Ultrasonografía , Heridas no Penetrantes/diagnósticoAsunto(s)
Fracturas del Cuello Femoral/cirugía , Fijación Interna de Fracturas/métodos , Anciano , Femenino , Fracturas del Cuello Femoral/diagnóstico por imagen , Necrosis de la Cabeza Femoral/diagnóstico por imagen , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/diagnóstico por imagen , Pronóstico , Radiografía , Cicatrización de HeridasRESUMEN
The "spontaneous" subcutaneous rupture of the tendon of the extensor pollicis longus is reported and the etiology and the pathologie are discussed. In our opinion is the transfer of the extensor indicis the only operation to do in this case and gives the best results.