腓骨长肌腱移位修复陈旧性跟腱断裂

Long fibular muscle tendon transposition in repair of old Achilles tendon rupture

目的探讨腓骨长肌腱治疗陈旧性跟腱断裂的疗效。方法腓骨长肌腱近止点处切断,经皮下隧道移位修复跟腱断裂。结果 15例均获随访,时间18～24个月。2例出现伤口延迟愈合。经康复锻炼,患者均在术后10周左右弃拐完全负重行走,未发生跟腱断裂。疗效按Arner-Lindholm标准评定:优10例,良5例。结论腓骨长肌腱移位修复陈旧性跟腱断裂,康复较快,疗效满意。

Objective To investigate the effect of peroneus longus tendon for treatment of old Achilles tendon rupture.Methods The peroneus longus tendon was cut near the ending point,and transposed via subcutaneous tunnel for repair of Achilles tendon rupture.Results 15 cases were followed up for 18-24 months.2 cases got delayed wound healing.After rehabilitation,patients were allowed full weight-bearing on the 10th postoperative week.No recurrence of Achilles tendon rupture was found.According to Arner-Lindholm efficacy evaluation,the results were excellent in 10 cases,and good in 5 cases.Conclusions Long fibular muscle tendon transposition for repair of old rupture of Achilles tendon is effective for fast rehabilitation,and good effect.