Author/Editor		Bon, Jurij; Mikek, Martin
Title		Operativno zdravljenje raztrganja Ahilove kite
Translated title		Surgical treatment of Achilles tendon rupture
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 36, št. 3
Publication year		1997
Volume		str. 289-96
Language		slo
Abstract		Currenty, open surgical repair and percutaneous operation are the two most commonly used operative techniques for the repair of ruptured Achilles tendon. Open surgery is being increasingly replaced by the perartaneus technique. The objective of this study was to compare the results of the two methods, and irniestigate factors determining treatment. We followed up a group of 20 patients treated by percuraneous repair in 1996, and a group of 20 patients who underwent open surgery between 1991 and 1992, both at the Department of Traumatology, Ljubljana. The group treated by the percutaneous technique showed a significantly shorter time of hospitalization (p < 0.01 ) and a significantly faster restoration of furiction of the affected extremity (p < 0.05). There were no statisticaly significant differences between the groups as concerns the rate of complications and re-ruptures, time from injury to surgery, and length of immobilization.
Summary		Danes pri operativnem zdravljenju raztrganja Ahilove kite uporabljamo predvsem dve metodi odprto metodo (šiv tetive in učvrstitev spoja z mišično ovojnico) in perkutani šiv. Slednji vse bolj zamenjuje odprto metodo. V raziskavi smo primerjali uspešnost dveh metod operativnega zdravljenja raztrganja Ahilove kite, torej odprte metode in perkutanega šiva, obenem pa ugotavljali dejavnike, ki vplivajo na zdravljenje. Spremljali smo potek zdravljenja 20 bolnikov, operiranih v letu 1996, s perkutanim šivom na Travmatološki kliniki v Ljubljani. Kot primerjalna skupina nam je služilo 20 bolnikov, operiranih z odprto metodo v obdobju 1991-1992. Pri skupini, operirani s perkutanim šivom, smo ugotovili statistično značilen krajši čas bolnišničnega zdravljenja (p < 0,01 ) ter statistično značilen krajši čas, potreben za popolno razgibanje prizadete okončine (p < 0,05). Glede števila zapletov, ponovnih raztrganj, časa do operacije in časa imobilizacije se skupini bolnikov statistično značilno nista razlikovali.
Descriptors		ACHILLES TENDON RUPTURE