Infección en reconstrucción del tendón de Aquiles. Cirugía de rescate mediante aloinjerto aquíleo

Abstract

. ABSTRACT Infection after Achilles reconstruction rupture. Challenging salvage surgery with Achilles allograft Background: surgical options are limited in cases of major Achilles defects or postoperative complications like infection. In those, tendon transfer or reconstruction with an allograft should be considered. The aim of this report is to illustrate a case series of a salvage surgery using an Achilles tendon allograft in a massive tendon loss and post-surgical infection. Cases: we report 3 cases. The first and second cases are a 57 year-old man and 55 year-old woman with a post-surgical infection after a reconstruction of Achilles tendon for a chronic rupture. The third is a 39 year-old man with traumatic re-rupture post reconstruction, who presented an infection afterwards. The isolated germs were: S. aureus , S. marcescens and P. aeruginosa, and in the last patient E. cloacae and C. amycolatum . A reconstruction with Achilles allograft was per-formed, followed by 8 weeks of antibiotic treatment. Results: the patients completed a standard rehabilitation program for Achilles tendon ruptures. First patient: 2,5-years follow-up, good functional result, started practicing sports at 1-year follow-up. Second patient: 1-year follow-up, follows rehabilitation protocol