Perkembangan Terkini dalam Manajemen Ruptur Tendon Achilles: Operatif atau Non-operatif?
DOI:
https://doi.org/10.31282/joti.v7n2.132Kata Kunci:
Ruptur Tendon Achilles, Tindakan Pembedahan, Pengobatan KonservatifAbstrak
Tendon Achilles merupakan tendon yang paling sering ruptur pada daerah ekstremitas bawah. Insidensi tertinggi ruptur tendon Achilles terjadi pada individu berusia 30-49 tahun dan lebih banyak ditemukan pada pria. Faktor risiko seperti penuaan, obesitas, olahraga yang tidak teratur, penggunaan antibiotik tertentu, dan faktor sistemik lainnya berkontribusi terhadap kejadian ruptur tendon Achilles. Saat melakukan anamnesis, perlu ditanyakan mengenai mekanisme cedera, riwayat trauma, dan mengidentifikasi faktor terkait. Pemeriksaan secara menyeluruh dan melakukan perbandingan antara kedua ekstremitas juga penting untuk dilakukan. Meskipun diagnosis ruptur tendon Achilles didasarkan pada pemeriksaan klinis, pencitraan diagnostik dapat membantu untuk memvisualisasikan celah tendon. Pengobatan ruptur tendon Achilles sendiri melibatkan pendekatan secara konservatif dan pembedahan. Meskipun angka kejadian ruptur berulang lebih rendah pada mereka yang menjalani tindakan pembedahan, bukti terbaru menunjukkan bahwa pengobatan konservatif memberikan hasil yang sebanding. Walaupun begitu, RTA lebih baik ditemukan pada mereka yang menjalani prosedur pembedahan dengan rehabilitasi dini.
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