肌腱转位联合髂胫束移植修复大段跟腱缺损

Repairment of Long Achilles Tendon Defect with Tendon Transposition and Iliotibial Band Transplantation

目的:探讨术后跟腱大段缺损的修复方法及效果。方法:本文利用肌腱转位联合髂胫束加强的方法对11例较大跟腱缺损的病例进行修复,术后采用循序渐进的康复锻炼,观察患者跟腱修复及踝关节功能恢复情况。结果:11例患者经修复术后未再出现跟腱断裂,踝关节功能恢复优良率达91%。结论:肌腱转位联合髂胫束移植修补术治疗大段跟腱缺损效果理想,可操作性强。

Objective:To investigate Achilles tendon defects repairing method and its effect. Methods: Eleven cases of Achilles tendon defect were repaired with tendon transposition and iliotibial band transplantation. After operation the rehabilitation procedure was taken step by step. The effect of the operation was studied. Results: None of the cases were found of Achilles tendon rupture again and the function of the ankle joint recovered well. Conclusion: Repair of long Achilles tendon defects with tendon transposition and iliotibial band transplantation is an satisfactory method, and could be carried out without difficulties.