HRONIČNA PARCIJALNA RUPTURA AHILOVE TETIVE: TRANSFER TETOVE FHL-PRIKAZ DVA SLUČAJA

Mihajlo Mitrović; Dražen Jelača; Ivana Mitrović

doi:10.5937/afmnai37-26808

Mihajlo Mitrović Opšta bolnica Pančevo
Dražen Jelača
Ivana Mitrović

DOI: https://doi.org/10.5937/afmnai37-26808

Ključne reči: Ahilova tetiva, tetiva FHL, transpozicija, parcijalna ruptura

Sažetak

Povrede Ahilove tetive su karakteristične za aktivne sportiste ali i rekreativce srednjih godina. Etiologija povreda i oboljenja nam nije u potpunosti poznata. Pored jasnog traumatskog mehanizma, kao uzročnika akutne rupture, istraživanja su pokazala da u osnovi rupture postoje hronične degenerativne promene.Dok kod akutnih ruptura dalje postoje dileme oko načina lečenja, hronične rupture i oboljenja se dominatno leče operativno. Brojne su operativne procedure koje se preduzimaju, od ekcizije izmenjenih, degenerativnih promena i dekompresije tetive, preko rekonstrukcije fascijom latom i VY plastikom, do transfera tetiva i primene alograftova i sintetskih grafotova.Cilj našeg rada je da prikažemo rezultate lečenja hronične parcijalne rupture Ahilove tetive ekcizijom ožiljnog tkiva i njenim ojačavanjem transpozicijom tetive FHL. Proceduru smo primenili kod aktivnog sportiste i rekreativca koji su predhodno duže vreme lečeni neoperativno. Preoperativno i postoperativno su testirani AOFAS i ATRS testovima. Rezultati su nam pokazali značajno poboljšanje funkcije i potpuno vraćanje pacijenata uobičajnim životnim aktivnostima. Postoperativni rezultati AOFAS i ATRS skora su bili približno identični rezultatima ne povređenih tetiva. Kroz brojne radove i našu malu seriju pokazalo se da je primena transpozicije tetive FHL u lečenju hroničnih povreda i oboljenja Ahilove tetive sigurna i efiksana metoda.

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