Avtor/Urednik		Čretnik, Andrej; Kosanović, Miloš; Batišta, Miroslav
Naslov		Pretrganje Ahilove tetive
Prevedeni naslov		Achilles tendon rupture
Tip		članek
Vir		Med Razgl
Vol. in št.		Letnik 36, št. 3
Leto izdaje		1997
Obseg		str. 379-87
Jezik		slo
Abstrakt		There are many different theories and conflicting views about the etiology and treatment of Achilles tendon rupture. The theory of ischemic and degenerative causes seems to have been most widey aocepted, anhough there are several arguments for other explanations or combinations of theories. The preierred therapeutic modality is open surgical repair by suturing, with postoperative cast immobilization. Cast immobilization has been increasingly replaced by the use of orthoses, which allow for efective early functional mobilization. Despite its drawbacks, conservative treatment remains an acceptable alternative to surgery in patients with no specific demands. Among the methods introduced recently, subcutass suturing under local anesthesia and the use of funcMonal orthosis, which combines the advantages of conservative and operative treatment, has been gaining in popularity. Further studies and analysis of resuns will be needed to confirm the true value of various theories and treatment modalities.
Izvleček		O pretrganju Ahilove tetive in njenem zdravljenju obstajajo številna in tudi zelo nasprotujoča si mnenja in teorije. Glede vzroka pretrganja se zdi najbolj verjetna teorija ishemidnih oz. degenerativnih sprememb, čeprav dejstva govorijo v prid tudi drugim teorijam oz. kombinacijam teorij. Kljub tipični klinični sliki lahko poškodbo spregledamo. Pretrganje zdravimo večinoma z odprtim operativnim preštetjem s pooperativnim zamavčenjem; zamavčenje zaradi prednosti vse bolj zamenjujejo funkcionalne opornice. Konzervativno zdravljenje je lahko sprejemIjiva metoda za poškodovanca brez posebnih zahtev, čeprav ima nedvomne pomanjkljivosti. Pojavljajo se tudi nove metode. Vse bolj se uveIjavlja podkožna metoda prešitja, še posebej ob uporabi lokalne anestezije in funkconalnih opornic, saj združuje prednosti operativnega in konzervativnega zdravljenja. Pravo vrednost in mesto teorijam in metodam pa bodo nedvomno dale nadaljnje raziskave in analize zdravljenih poškodovancev.
Deskriptorji		ACHILLES TENDON RUPTURE