{"id":7762,"date":"2017-03-07T09:00:27","date_gmt":"2017-03-07T09:00:27","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/?p=7762\/"},"modified":"2017-03-07T09:00:27","modified_gmt":"2017-03-07T09:00:27","slug":"reconstruccio-del-tendo-daquil%c2%b7les-aspectes-claus-la-cirurgia","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/ca\/reconstruccio-del-tendo-daquil%c2%b7les-aspectes-claus-la-cirurgia\/","title":{"rendered":"Reconstrucci\u00f3 del tend\u00f3 d&#8217;Aquil\u00b7les. Aspectes claus de la cirurgia."},"content":{"rendered":"<p><span style=\"color: #000000;\">El tend\u00f3 d&#8217;Aquil\u00b7les uneix el m\u00fascul solear i els bessons a l&#8217;os calcani i t\u00e9 com a funci\u00f3 primordial l&#8217;elevaci\u00f3 del tal\u00f3 del peu del s\u00f2l. \u00c9s el tend\u00f3 m\u00e9s gruixut i resistent del nostre organisme i s&#8217;inserta a la regi\u00f3 inferior mitjan\u00e7ant\u00a0un ancoratge al calcani. Sol trencar-se 2 o 3 cent\u00edmetres per sobre de la inserci\u00f3 a causa d&#8217;una falta de vascularitzaci\u00f3.<\/span><\/p>\n<p><span style=\"color: #000000;\">L&#8217;esquin\u00e7 o trencament del tend\u00f3 d&#8217;Aquil\u00b7les sol acompanyar-se de la percepci\u00f3 d&#8217;un espetec o cruixit, dificultat de mantenir-se de puntetes, dificultat al deambular\u00a0o pujar escales i dolor de la part posterior del turmell. Sovint hi ha antecedents de tendinitis cr\u00f2nica de tend\u00f3 d&#8217;Aquil\u00b7les o d&#8217;haver estat tractats amb antibi\u00f2tics derivats de les quinolones.<\/span><\/p>\n<p><span style=\"color: #000000;\">Les causes s\u00f3n traum\u00e0tiques (diversos tipus d&#8217;accidents, de vegades en iniciar una carrera sobretot en s\u00f2l dur practicant esports en els quals s&#8217;obliga el peu a frenades o girs bruscs, o per l&#8217;exist\u00e8ncia de peus buits.<\/span><\/p>\n<p><span style=\"color: #000000;\">Aquest tipus de lesi\u00f3 es pot diagnosticar mitjan\u00e7ant examen f\u00edsic utilitzant la maniobra de Thomson, si b\u00e9 l&#8217;ajuda de la resson\u00e0ncia magn\u00e8tica ser\u00e0 molt necess\u00e0ria per con\u00e8ixer l&#8217;abast de l&#8217;esquin\u00e7.<\/span><\/p>\n<p><span style=\"color: #000000;\">Un trencament total del tend\u00f3 d&#8217;Aquil\u00b7les precisar\u00e0 un tractament quir\u00fargic mentre que en un trencament parcial del tend\u00f3 d&#8217;Aquil\u00b7les haur\u00e0 de sospesar-se la necessitat d&#8217;una cirurgia reparadora o la utilitzaci\u00f3 d&#8217;un guix durant 3 a 6 setmanes a fi de regenerar el tend\u00f3 (aquest guix haur\u00e0 de canviar-se cada 2 o 3 setmanes per ajudar a estirar el tend\u00f3). L&#8217;avantatge del tractament quir\u00fargic \u00e9s la baixa estad\u00edstica en recidiv<\/span><span style=\"color: #000000;\">e<\/span><span style=\"color: #000000;\">s de trencament del tend\u00f3, mentre que el desavantatge s\u00f3n les complicacions postoperat<\/span><span style=\"color: #000000;\">\u00f2rie<\/span><span style=\"color: #000000;\">s de qualsevol ferida quir\u00fargica.<\/span><\/p>\n<p><span style=\"color: #000000;\">L&#8217;anest\u00e8sia que s&#8217;utilitza en aquest tipus de cirurgies pot ser epidural (<\/span><span style=\"color: #000000;\">a<\/span><span style=\"color: #000000;\">dormint les cames mitjan\u00e7ant l&#8217;anest\u00e8sia espinal) o b\u00e9 anest<\/span><span style=\"color: #000000;\">\u00e8<\/span><span style=\"color: #000000;\">sia general del pacient.<\/span><\/p>\n<p><span style=\"color: #000000;\">S&#8217;inicia la cirurgia amb una incisi\u00f3 d&#8217;uns 8 cent\u00edmetres de longitud aproximadament des del panxell fins al turmell. Se separen els pl\u00e0nols anat\u00f2mics fins a aconseguir els dos extrems del tend\u00f3 d&#8217;Aquil\u00b7les del m<\/span><span style=\"color: #000000;\">\u00fascul<\/span><span style=\"color: #000000;\"> prim plantar que al seu torn, servir\u00e0 d&#8217;empelt i refor\u00e7 de la sutura del tend\u00f3 d&#8217;Aquil\u00b7les. Una vegada sutura<\/span><span style=\"color: #000000;\">t<\/span><span style=\"color: #000000;\"> el tend\u00f3 d&#8217;Aquil\u00b7les, s&#8217;utilitza e<\/span><span style=\"color: #000000;\">l<\/span><span style=\"color: #000000;\"> tend\u00f3 de<\/span><span style=\"color: #000000;\">l m\u00fascul<\/span><span style=\"color: #000000;\"> prim plantar extret a manera de l<\/span><span style=\"color: #000000;\">l<\/span><span style=\"color: #000000;\">a<\/span><span style=\"color: #000000;\">\u00e7ada<\/span><span style=\"color: #000000;\"> entre els dos extrems del tend\u00f3 d&#8217;Aquil\u00b7les. En la seg\u00fcent fase se sutura amb material biodegradable aquesta l<\/span><span style=\"color: #000000;\">l<\/span><span style=\"color: #000000;\">a<\/span><span style=\"color: #000000;\">\u00e7<\/span><span style=\"color: #000000;\">ada entre si i amb el tend\u00f3 d&#8217;Aquil\u00b7les.<\/span><\/p>\n<p><span style=\"color: #000000;\">Es important protegeir el tend\u00f3 d&#8217;Aquil\u00b7les reconstru\u00eft mitjan\u00e7ant el seu propi embolcall fisiol\u00f2gic (paratend\u00f3) o amb l&#8217;ajuda d&#8217;algun ap\u00f2sit especial que impedeixi les adher\u00e8ncies d<\/span><span style=\"color: #000000;\">e<\/span><span style=\"color: #000000;\">l tend\u00f3 d&#8217;Aquil\u00b7les a la pell. Finalment s<\/span><span style=\"color: #000000;\">e<\/span><span style=\"color: #000000;\"> sutur<\/span><span style=\"color: #000000;\">e<\/span><span style=\"color: #000000;\">n els pl\u00e0nols anat\u00f2mics de la pell.<\/span><\/p>\n<p><span style=\"color: #000000;\">\u00c9s com<\/span><span style=\"color: #000000;\">una<\/span><span style=\"color: #000000;\"> la utilitzaci\u00f3 d&#8217;un drenatge durant 1 o 2 dies per evitar l&#8217;acumulaci\u00f3 de restes hem<\/span><span style=\"color: #000000;\">\u00e0tique<\/span><span style=\"color: #000000;\">s <\/span><span style=\"color: #000000;\">a <\/span><span style=\"color: #000000;\">la ferida, ja que aquest<\/span><span style=\"color: #000000;\">e<\/span><span style=\"color: #000000;\">s poden provocar complicacions en la bona cicatritzaci\u00f3 del teixit.<\/span><\/p>\n<p><span style=\"color: #000000;\">El postoperatori precisa de l&#8217;\u00fas de crosses per caminar ja que no es pot recolzar <\/span><span style=\"color: #000000;\">a terra<\/span><span style=\"color: #000000;\"> la cama operada.<\/span><\/p>\n<p><span style=\"color: #000000;\">Es mant\u00e9 a 90\u00ba l&#8217;angle entre peu i cama mitjan\u00e7ant una f\u00e8rula de guix amb la finalitat d&#8217;evitar la rigidesa del turmell durant les dues primeres setmanes.<\/span><\/p>\n<p><span style=\"color: #000000;\">Sol iniciar-se la deambulaci\u00f3 a partir de la tercera setmana usant una ortesi tipus Walker fins a la sisena setmana del postoperatori.<\/span><\/p>\n<p><span style=\"color: #000000;\">Una vegada donat <\/span><span style=\"color: #000000;\">e<\/span><span style=\"color: #000000;\">l pacient d&#8217;alta es recomana l&#8217;\u00fas de plantilles ortop<\/span><span style=\"color: #000000;\">\u00e8dique<\/span><span style=\"color: #000000;\">s per relaxar el tend\u00f3 d&#8217;Aquil\u00b7les.<\/span><\/p>\n<p><span style=\"color: #000000;\">Si l&#8217;evoluci\u00f3 \u00e9s correcta, un esportista pot tornar a c\u00f3rrer a partir de les deu setmanes del postoperatori.<\/span><\/p>\n<p><span style=\"color: #000000;\">S&#8217;aconsella als pacients que han sofert un trencament del tend\u00f3 d&#8217;Aquil\u00b7les fer estiraments abans de realitzar exercici aix\u00ed com evitar sabates amb\u00a0tal\u00f3 elevat.<\/span><\/p>\n<p>&nbsp;<\/p>\n<div id=\"attachment_7753\" style=\"width: 401px\" class=\"wp-caption alignnone\"><img  title=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\"  alt=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7753\" class=\"wp-image-7753\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-1-1.jpg\" width=\"391\" height=\"423\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-1-1.jpg 536w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-1-1-216x234.jpg 216w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-1-1-450x488.jpg 450w\" sizes=\"auto, (max-width: 391px) 100vw, 391px\" \/><p id=\"caption-attachment-7753\" class=\"wp-caption-text\">Trencament del tend\u00f3 d&#8217;Aquil\u00b7les.<\/p><\/div>\n<div id=\"attachment_7754\" style=\"width: 592px\" class=\"wp-caption alignnone\"><img  title=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\"  alt=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7754\" class=\"wp-image-7754\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-2-1.jpg\" width=\"582\" height=\"437\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-2-1.jpg 592w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-2-1-312x234.jpg 312w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-2-1-450x338.jpg 450w\" sizes=\"auto, (max-width: 582px) 100vw, 582px\" \/><p id=\"caption-attachment-7754\" class=\"wp-caption-text\">Trencament del tend\u00f3 d&#8217;Aquil\u00b7les.<\/p><\/div>\n<div id=\"attachment_7755\" style=\"width: 594px\" class=\"wp-caption alignnone\"><img  title=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\"  alt=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7755\" class=\"wp-image-7755 size-full\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-3-1.jpg\" width=\"584\" height=\"438\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-3-1.jpg 584w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-3-1-312x234.jpg 312w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-3-1-450x338.jpg 450w\" sizes=\"auto, (max-width: 584px) 100vw, 584px\" \/><p id=\"caption-attachment-7755\" class=\"wp-caption-text\">Trencament del tend\u00f3 d&#8217;Aquil\u00b7les.<\/p><\/div>\n<div id=\"attachment_7756\" style=\"width: 594px\" class=\"wp-caption alignnone\"><img  title=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\"  alt=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7756\" class=\"wp-image-7756 size-full\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-4-1.jpg\" width=\"584\" height=\"438\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-4-1.jpg 584w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-4-1-312x234.jpg 312w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-4-1-450x338.jpg 450w\" sizes=\"auto, (max-width: 584px) 100vw, 584px\" \/><p id=\"caption-attachment-7756\" class=\"wp-caption-text\">Trencament del tend\u00f3 d&#8217;Aquil\u00b7les.<\/p><\/div>\n<div id=\"attachment_7757\" style=\"width: 580px\" class=\"wp-caption alignnone\"><img  title=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\"  alt=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7757\" class=\"wp-image-7757 size-full\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-5-1.jpg\" width=\"570\" height=\"426\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-5-1.jpg 570w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-5-1-313x234.jpg 313w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-5-1-450x336.jpg 450w\" sizes=\"auto, (max-width: 570px) 100vw, 570px\" \/><p id=\"caption-attachment-7757\" class=\"wp-caption-text\">Trencament del tend\u00f3 d&#8217;Aquil\u00b7les.<\/p><\/div>\n<div id=\"attachment_7758\" style=\"width: 436px\" class=\"wp-caption alignnone\"><img  title=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\"  alt=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7758\" class=\"wp-image-7758 size-full\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-6-1.jpg\" width=\"426\" height=\"570\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-6-1.jpg 426w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-6-1-175x234.jpg 175w\" sizes=\"auto, (max-width: 426px) 100vw, 426px\" \/><p id=\"caption-attachment-7758\" class=\"wp-caption-text\">Trencament del tend\u00f3 d&#8217;Aquil\u00b7les.<\/p><\/div>\n<div id=\"attachment_7759\" style=\"width: 533px\" class=\"wp-caption alignnone\"><img  title=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\"  alt=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7759\" class=\"wp-image-7759\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-7-1.jpg\" width=\"523\" height=\"391\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-7-1.jpg 648w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-7-1-313x234.jpg 313w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-7-1-450x336.jpg 450w\" sizes=\"auto, (max-width: 523px) 100vw, 523px\" \/><p id=\"caption-attachment-7759\" class=\"wp-caption-text\">Trencament del tend\u00f3 d&#8217;Aquil\u00b7les.<\/p><\/div>\n<div id=\"attachment_7760\" style=\"width: 436px\" class=\"wp-caption alignnone\"><img  title=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\"  alt=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia.\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7760\" class=\"wp-image-7760 size-full\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-8-1.jpg\" width=\"426\" height=\"570\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-8-1.jpg 426w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/03\/rotura-tendon-de-aquiles-foto-8-1-175x234.jpg 175w\" sizes=\"auto, (max-width: 426px) 100vw, 426px\" \/><p id=\"caption-attachment-7760\" class=\"wp-caption-text\">Trencament del tend\u00f3 d&#8217;Aquil\u00b7les.<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>El tend\u00f3 d&#8217;Aquil\u00b7les uneix el m\u00fascul solear i els bessons a l&#8217;os calcani i t\u00e9 com a funci\u00f3 primordial l&#8217;elevaci\u00f3 del tal\u00f3 del peu del s\u00f2l. \u00c9s el tend\u00f3 m\u00e9s gruixut i resistent del nostre organisme i s&#8217;inserta a la regi\u00f3 inferior mitjan\u00e7ant\u00a0un ancoratge al calcani. Sol trencar-se 2 o 3 cent\u00edmetres per sobre de [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":7754,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[287,346],"tags":[],"class_list":["post-7762","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cirurgia-podologica","category-icp-ca"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia. - Institut Catal\u00e0 del Peu<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Reconstrucci\u00f3 del tend\u00f3 d&#039;Aquil\u00b7les. Aspectes claus de la cirurgia. - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"El tend\u00f3 d&#8217;Aquil\u00b7les uneix el m\u00fascul solear i els bessons a l&#8217;os calcani i t\u00e9 com a funci\u00f3 primordial l&#8217;elevaci\u00f3 del tal\u00f3 del peu del s\u00f2l. \u00c9s el tend\u00f3 m\u00e9s gruixut i resistent del nostre organisme i s&#8217;inserta a la regi\u00f3 inferior mitjan\u00e7ant\u00a0un ancoratge al calcani. 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