改良Bosworth法联合应用可吸收防粘连膜治疗陈旧性跟腱断裂

Treatment of old Achilles tendon rupture with revised Bosworth method and using antiadhesive absorbade membrane

目的探讨改良Bosworth术联合应用可吸收防粘连膜治疗陈旧性跟腱断裂的效果。方法14例陈旧性跟腱断裂病例采用改良Bosworth法重建后，可吸收防粘连膜包绕肌腱的术式予以治疗。跟腱缺损范围3．6～10cm，平均6.3cm。结果平均随访29个月。按Arner-Lindholm疗效评定标准评估，优12例，良2例。结论改良Bosworth法联合应用可吸收防粘连膜治疗陈旧性跟腱断裂临床疗效满意，具有良好的应用前景。

Objective To investigate the methods and results of treating the old Achilles tendon rupture with revised Besworth method and using anti-adhensive absorbable membrane. Methods With defect of 3.6 - 10 cm,6. 3 cm on average ,14 cases of old Achilles tendon ruptures were treated operatively with the revised Bosworth methods and using anti-adhensive absorbable membrane. Results All were followed up for 29 months on average. The results were excellent in 12 cases（85.7% ） ,and good in 2 cases（ 14. 3% ）according to Arner-Lindholm standard. Conclusions Revised Bosworth method and using anti-adhensive absorbable membrane can provide good long-term clinical result to treat the old Achilles tendon rupture.