{"id":1464,"date":"2018-09-30T06:57:16","date_gmt":"2018-09-30T06:57:16","guid":{"rendered":"https:\/\/projects.techhivetechnologies.com\/lfiold\/?p=1464"},"modified":"2023-12-11T06:59:51","modified_gmt":"2023-12-11T06:59:51","slug":"akillesseneruptur-operasjon-eller-opptrening","status":"publish","type":"post","link":"https:\/\/projects.techhivetechnologies.com\/lfiold\/akillesseneruptur-operasjon-eller-opptrening\/","title":{"rendered":"Akillesseneruptur- operasjon eller konservativ behandling?"},"content":{"rendered":"\t\t
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Akillesseneruptur- operasjon eller konservativ behandling?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Akillesseneruptur\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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N\u00e5r uhellet f\u00f8rst er ute s\u00e5 er det viktig \u00e5 f\u00e5 stilt en riktig diagnose hos kyndig helsepersonell.\u00a0<\/strong>I dette blogginnlegget s\u00e5 \u00f8nsker jeg \u00e5 rette s\u00f8kelyset mot avgj\u00f8relsen om man skal opereres eller velge konservativ behandling.<\/b><\/p>

\u00a0<\/p>

Sykehuset bestemmer?<\/strong><\/p>

Det vanligste er at pasienten selv tar kontakt med akutt legevakt eller sykehus for videre r\u00e5d om hvordan skaden skal behandles. Her blir det vurdert om skaden skal behandles konservativt (ikke operasjon) ved at seneendene gror sammen eller om det skal gj\u00f8res kirurgi (operasjon) for \u00e5 sy seneendene sammen.<\/p>

Som oftest er det praksisen ved sykehuset eller legevakten som avgj\u00f8r hvilken behandlingsmetode som blir anvendt. Til tross for at konservativ behandling av akillessenerupturer har \u00f8kt de siste \u00e5rene er fortsatt kirurgisk behandling den mest vanlige behandlingsformen i Norge (Ganestam et al 2016). En av grunnene til at flere pasienter behandles konservativt kan v\u00e6re en \u00f8kning i publiserte h\u00f8ykvalitetsstudier som viser gode resultater for denne gruppen.<\/p>

Det er publisert enormt mange studier som tar for seg sammenligningen mellom konservativ- og kirurgisk- behandling. Begge behandlingsformene har b\u00e5de sine fordeler og ulemper for pasienten. Ved operasjon vil det alltid inneb\u00e6re en ekstra risiko for komplikasjoner, i tillegg er samfunnsutgiftene ved operasjoner store. Dette kan v\u00e6re en av grunnene til at det i s\u00e5 stor grad forskes p\u00e5 alternativer av konservativ behandling.<\/p>

I eldre studier viste b\u00e5de konservativ behandling og kirurgisk behandling langt d\u00e5rligere resultater enn i nyere studier. I disse studiene var det ogs\u00e5 st\u00f8rre forskjell mellom de to behandlingsformene. En trolig \u00e5rsak til dette kan ha v\u00e6rt uvitenhet om viktigheten av opptrening i etterkant av skaden.<\/p>

\u00a0<\/p>

Opptrening<\/strong><\/p>

Parallelt med at det har blitt publisert mange studier som sammenligner konservativ behandling med kirurgisk har det ogs\u00e5 blitt publisert en rekke studier som har unders\u00f8kt forskjellige metoder for opptrening. Disse studiene viser liten forskjell mellom konservativ og kirurgisk behandling dersom pasienten har gjennomg\u00e5tt tidlig vektb\u00e6ring og riktig rehabilitering (Holm et al 2015).<\/p>

S\u00e5 svaret p\u00e5 om man b\u00f8r velge konservativ eller kirurgisk behandling etter en akillesseneruptur ligger trolig langt inn i fremtiden. Vi som er ekstremt opptatt av feltet venter p\u00e5 en p\u00e5g\u00e5ende\u00a0studie ved AHUS<\/a>\u00a0som sammenligner konservativ behandling med kirurgisk behandling. Denne store h\u00f8ykvalitetsstudien vil trolig veie tungt i feltet.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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I mellomtiden vil jeg oppfordre samtlige pasienter med akillessenerupturer til \u00e5 legge mindre vekt p\u00e5 valget mellom konservativ og kirurgisk behandling, men heller forberede seg godt p\u00e5 ett \u00e5r med riktig opptrening.<\/p>

Vi p\u00e5\u00a0LFI Helse & trening<\/a>\u00a0gj\u00f8r v\u00e5rt ytterste for \u00e5 holde oss oppdatert p\u00e5 forskning for \u00e5 f\u00f8lge med p\u00e5 hva som er best mulige retningslinjer for opptrening.<\/p>

\u00a0<\/p>

Mvh
Jannicke Fjeldstad<\/a><\/p>

Idrettsfysioterapeut, MSc<\/p>

\u00a0<\/p>

For videre fordypning:<\/em><\/p>

Ganemstad, A., Kallemose, T., & Barfod K., F. (2016). Increasing incidence of acute Achilles tendon rupture and a noticeable decline in surgical treatment from 1994 to 2013. A nationwide registry study of 33,160 patients.<\/p>

Holm, C., Kjaer, M., & Eliasson, P. (2015). Achilles tendon rupture\u2013treatment and complications: a systematic review. Scand J Med Sci Sports, 25(1), e1-10. doi:10.1111\/sms.12209<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Akillesseneruptur- operasjon eller konservativ behandling? N\u00e5r uhellet f\u00f8rst er ute s\u00e5 er det viktig \u00e5 f\u00e5 stilt en riktig diagnose hos kyndig helsepersonell.\u00a0I dette blogginnlegget s\u00e5 \u00f8nsker jeg \u00e5 rette s\u00f8kelyset mot avgj\u00f8relsen om man skal opereres eller velge konservativ behandling. \u00a0 Sykehuset bestemmer? Det vanligste er at pasienten selv tar kontakt med akutt legevakt […]<\/p>\n","protected":false},"author":1,"featured_media":1465,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-1464","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogs"],"yoast_head":"\nAkillesseneruptur- operasjon eller konservativ behandling? - LFI<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/projects.techhivetechnologies.com\/lfiold\/akillesseneruptur-operasjon-eller-opptrening\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Akillesseneruptur- operasjon eller konservativ behandling?\" \/>\n<meta property=\"og:description\" content=\"Akillesseneruptur- operasjon eller konservativ behandling? N\u00e5r uhellet f\u00f8rst er ute s\u00e5 er det viktig \u00e5 f\u00e5 stilt en riktig diagnose hos kyndig helsepersonell.\u00a0I dette blogginnlegget s\u00e5 \u00f8nsker jeg \u00e5 rette s\u00f8kelyset mot avgj\u00f8relsen om man skal opereres eller velge konservativ behandling. \u00a0 Sykehuset bestemmer? 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N\u00e5r uhellet f\u00f8rst er ute s\u00e5 er det viktig \u00e5 f\u00e5 stilt en riktig diagnose hos kyndig helsepersonell.\u00a0I dette blogginnlegget s\u00e5 \u00f8nsker jeg \u00e5 rette s\u00f8kelyset mot avgj\u00f8relsen om man skal opereres eller velge konservativ behandling. \u00a0 Sykehuset bestemmer? Det vanligste er at pasienten selv tar kontakt med akutt legevakt […]","og_url":"https:\/\/projects.techhivetechnologies.com\/lfiold\/akillesseneruptur-operasjon-eller-opptrening\/","og_site_name":"LFI","article_published_time":"2018-09-30T06:57:16+00:00","article_modified_time":"2023-12-11T06:59:51+00:00","og_image":[{"width":768,"height":512,"url":"https:\/\/projects.techhivetechnologies.com\/lfiold\/wp-content\/uploads\/2023\/12\/Akillesseneruptur_krykker_gangfunksjon-768x512-1.jpg","type":"image\/jpeg"}],"author":"admin","twitter_card":"summary_large_image","twitter_misc":{"Written by":"admin","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/projects.techhivetechnologies.com\/lfiold\/akillesseneruptur-operasjon-eller-opptrening\/#article","isPartOf":{"@id":"https:\/\/projects.techhivetechnologies.com\/lfiold\/akillesseneruptur-operasjon-eller-opptrening\/"},"author":{"name":"admin","@id":"https:\/\/projects.techhivetechnologies.com\/lfiold\/#\/schema\/person\/5b69cb31570feb94ba91178cf62af5e6"},"headline":"Akillesseneruptur- operasjon eller konservativ behandling?","datePublished":"2018-09-30T06:57:16+00:00","dateModified":"2023-12-11T06:59:51+00:00","mainEntityOfPage":{"@id":"https:\/\/projects.techhivetechnologies.com\/lfiold\/akillesseneruptur-operasjon-eller-opptrening\/"},"wordCount":519,"commentCount":0,"image":{"@id":"https:\/\/projects.techhivetechnologies.com\/lfiold\/akillesseneruptur-operasjon-eller-opptrening\/#primaryimage"},"thumbnailUrl":"https:\/\/projects.techhivetechnologies.com\/lfiold\/wp-content\/uploads\/2023\/12\/Akillesseneruptur_krykker_gangfunksjon-768x512-1.jpg","articleSection":["Blogs"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/projects.techhivetechnologies.com\/lfiold\/akillesseneruptur-operasjon-eller-opptrening\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/projects.techhivetechnologies.com\/lfiold\/akillesseneruptur-operasjon-eller-opptrening\/","url":"https:\/\/projects.techhivetechnologies.com\/lfiold\/akillesseneruptur-operasjon-eller-opptrening\/","name":"Akillesseneruptur- operasjon eller konservativ behandling? 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