Reparación de ruptura de tendón de Aquiles mediante técnica percutánea: Reporte de caso

Abstract

Introduction: This case report discusses an Achilles tendon rupture repaired using a percutaneous technique in a 50-year-old man. This minimally invasive method has significant benefits, such as rapid functional recovery and a lower risk of complications compared to open surgery. Despite this, its use is limited due to a lack of experience and conclusive evidence of its efficacy compared to traditional methods. This case contributes to medical knowledge by analyzing the functional efficacy of this technique in an adult patient. Case Presentation: A 50-year-old male presented with sudden severe pain in the posterior and distal region of the right leg, along with difficulty walking after jumping during a volleyball game. Thompson’s test was positive on physical examination, indicating a possible Achilles tendon rupture. A percutaneous repair was performed under local anesthesia using a modified Bunnell suture. A temporary cast was applied for immobilization, followed by a functional orthosis and a physical therapy program for proper recovery. After two months, the patient showed favorable evolution without complications, achieving the ability to walk at two months and fifteen days without pain. Similarly, physical and functional therapy at home was recommended. Conclusion: This case highlights the percutaneous technique as a safe and effective option for Achilles tendon rupture repair, with a favorable functional prognosis.