{"id":132980,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-estructural-ultraestructural-y-clinico-de-la-rotura-espontanea-del-tendon-de-aquiles-en-el-deportista\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"estudio-estructural-ultraestructural-y-clinico-de-la-rotura-espontanea-del-tendon-de-aquiles-en-el-deportista","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-estructural-ultraestructural-y-clinico-de-la-rotura-espontanea-del-tendon-de-aquiles-en-el-deportista\/","title":{"rendered":"Estudio estructural, ultraestructural y clinico de la rotura espontanea del tendon de aquiles en el deportista."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Andres Combalia Aleu <\/strong><\/h2>\n<p>Introduccion: en las ultimas decadas, la incidencia de roturas del tendon de aquiles (rta) ha aumentado en los paises desarrollados. Los estudios parecen indicar que tanto el tratamiento conservador (tc) como el tratamiento quirurgico (tq) proporcionan resultados similares. Se ha efectuado una doble investigacion:  (1) estudio morfologico para valorar la estructura y ultraestructura del ta sano y del que ha sufrido una rotura.  (2) evaluacion de los resultados con el tc o el tq.  material y metodos: se han estudiado 20 tendones de aquiles (ta), procedentes de donantes, y 62 muestras de pacientes con rta. Las muestras han sido estudiadas mediante microscopia optica y electronica. El estudio clinico se ha efectuado sobre 150 accidentes deportivos (3 bilaterales) durante los a\u00f1os 1971-1990. De estas, 118 rta siguieron un tq y 35 un tc. El 81% de las roturas del ta se observaron en varones (edad media 27 a\u00f1os). Se analizaron 27 variables.  resultados y discusion: las rta muestran cambios degenerativos (cd) en el 92.6% de los casos, frecuencia mucho mayor a la encontrada en los tendones control estudiados (25%) (p&lt;0.001). Los resultados permiten afirmar que la presencia de cd en los ta (degeneracion hipoxica 41.5%, mixoide 45.3%, grasa 5.6% o calcificacion 3.8%) son frecuentes en los individuos de mas de 30 a\u00f1os.  el resultado del tratamiento se ha mostrado significativamente mejor entre los pacientes intervenidos (p&lt;0.05). El numero de complicaciones es similar en los pacientes que siguen un tq (13.1% dehiscencias, infeccion, &#8230;) O un tc (8.6% rerroturas). A mayor complejidad tecnica se observan mas complicaciones. La proporcion de lesionados que conserva el mismo nivel deportivo despues del tratamiento de una rotura del ta es del 57% con el tq y del 21.9% con el tc (p&lt;0.01).  conclusiones:  (1) el 25% de la poblacion sana por encima de los 30 a\u00f1os, en el medio urbano, presenta cd en el ta.  (2) el 92.6% de las<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio estructural, ultraestructural y clinico de la rotura espontanea del tendon de aquiles en el deportista.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio estructural, ultraestructural y clinico de la rotura espontanea del tendon de aquiles en el deportista. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Andres Combalia Aleu <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1997<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Domingo Ruano Gil<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Tejedo Mateu <\/li>\n<li>Antonio Viladot Perice (vocal)<\/li>\n<li>Robert Ramon Soler (vocal)<\/li>\n<li>Jaume Fernandez Llamazares (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Andres Combalia Aleu Introduccion: en las ultimas decadas, la incidencia de roturas del tendon de aquiles (rta) [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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