Efecto de la rehabilitación temprana versus tardía, en pacientes con tenorrafia del tendón de Aquiles.
Saved in:
| Title: | Efecto de la rehabilitación temprana versus tardía, en pacientes con tenorrafia del tendón de Aquiles. |
|---|---|
| Authors: | Vargas-Mena, R.1,2 rodrigovargasmena@hotmail.com, Burgos-Elías, V. M.1,3, Pérez-González, C. S.1,4 |
| Source: | Acta Ortopédica Mexicana. Jan/Feb2013, Vol. 27 Issue 1, p27-32. 6p. |
| Subjects: | MEDICAL rehabilitation, ACHILLES tendon, DISEASE prevalence, MEDICAL literature, TENDON injury treatment, PHYSICAL medicine, RETROSPECTIVE studies, SURGERY |
| Abstract (English): | Background: Achilles tendon tear is a prevalent condition in our setting. There is no consensus in the literature regarding the ideal treatment modality or the right immobilization period before starting physiatrics. The harmful effect of prolonged immobilization is widely known, so the functional results of early versus late physical therapy are compared in patients subjected to surgery for Achilles tendon tear. Material and methods: Ambispective, longitudinal, comparative study in patients over 16 years of age with Achilles tendon rupture treated surgically and referred to rehabilitation; they followed the management protocol established at the service. Retrospective record review was performed for discharged patients and patients admitted after the study initiation date were followed-up prospectively. The evaluation continued by means of a phone interview; results were recorded according to the Achilles Tendon Rupture Score. Results: A total of 115 patients were included; they were classified into two groups according to the time elapsed between the surgery and the onset of physical therapy, as follows: 31 patients in group A, with onset between postoperative days 0 and 21; and 84 patients in group B, with onset after postoperative day 21. Two infectious complications were reported and no re-ruptures. Functional results were 6.52 for group A and 8.18 for group B. Conclusions: The duration of rehabilitation was similar in all patients, regardless of the protocol. The time elapsed between surgery and discharge was shorter in patients who underwent early physical therapy. The functional score is independent from the onset of physical therapy. Surgery followed by early mobilization is a safe practice that does not increase complications and shortens the total time the patients need to resume their daily activities. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Antecedentes: La ruptura del tendón de Aquiles es una patología prevalente en nuestro medio. En la bibliografía no existe consenso acerca de la modalidad ideal de tratamiento ni del tiempo ideal de inmovilización previo al inicio de fisiatría. Es ampliamente conocido el efecto nocivo de inmovilización prolongada, por lo que se comparan los resultados funcionales de fisioterapia temprana con la de inicio tardío en pacientes postoperados por ruptura del tendón de Aquiles. Material y métodos: Estudio retrospectivo-prospectivo, longitudinal y comparativo, pacientes mayores de 16 años con ruptura del tendón de Aquiles, manejados quirúrgicamente y referidos a rehabilitación, quienes se sometieron al protocolo de manejo establecido del servicio. Se realizó la revisión retrospectiva de expedientes para pacientes de alta y el seguimiento prospectivo para pacientes de nuevo ingreso a partir de la fecha de inicio del estudio. Se continuó la evaluación mediante entrevista telefónica, registrándose resultados según la escala Achilles Tendon Rupture Score. Resultados: Se incluyeron 115 pacientes, integrándolos en dos grupos según el tiempo transcurrido entre la cirugía y el inicio de la terapia física en: grupo A con 31, entre el día 0 y 21 del postoperatorio y grupo B con 84, posterior al día 21 de postoperatorio. Se registraron dos complicaciones infecciosas y ninguna rerruptura. Los resultados funcionales fueron 6.52 para grupo A y 8.18 para grupo B. Conclusiones: La duración de rehabilitación fue similar para todos los pacientes independientemente del protocolo. El tiempo transcurrido desde la cirugía hasta el alta es menor en pacientes sometidos a fisioterapia de inicio temprano. La calificación funcional es independiente del inicio de la terapia física. La cirugía seguida de movilización temprana es una práctica segura que no aumenta complicaciones y que acorta el tiempo total de reincorporación del paciente a sus actividades cotidianas. [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
Be the first to leave a comment!
