Tratamiento quirúrgico de las roturas del tendón de Aquiles. Surgical treatment of the Achilles tendon ruptures.

Summary. The objetive of this work was to asess the clini­ cal results and complications with the surgical treatment for subcutaneous Achilles tendon ruptures. Twenty six patients were clinically revised with a minimal follow up of one year. We detailed the surgical technique and postope­ rative management of the patients. Clinical results were asessed with the next parameters: ankle joint motion; tri­ ceps muscle strength; Achilles tendinous thickened; ; wal­ king limp; triceps muscle atrophy, posibility of sports prac­ tice and definitive changes. We had excelent results in 21 cases (80.7%); good results in 5 cases (19.3%) and none with fair or poor results. We detached 5 cases with inmediate postoperative complications and one case of relapse , all of them with good clinical result. Our excelent and good clinical results with the surgical technique for the Achilles tendon ruptures allow us to recommend this treatment in active patients, with appropiate health conditions in spite of the age.