腓肠肌肌腱皮瓣修复术治疗陈旧性跟腱断裂

Repair of old rupture of achilles tendon with gastrocnemius muscle tendon flap

目的:探讨腓肠肌肌腱皮瓣修复术治疗陈旧性跟腱断裂的临床疗效。方法:2001年1月￣2007年1月我院采用腓肠肌肌腱皮瓣修复术治疗陈旧性跟腱断裂15例,术后6周去长腿石膏后托进行功能康复训练,术后随访1年,采用Arner-Lindholm疗效评定标准评估。结果:13例患者伤口均为一期愈合,无感染、生硬和跟腱再次断裂等发生;2例肌皮瓣皮肤发生部分坏死,行植皮术后延期愈合。Arner-Lindholm疗效评定,优9例,良4例,差2例,优良率为86.67%。结论:采用腓肠肌肌腱皮瓣修复术治疗陈旧性跟腱断裂能较好地恢复跟腱的功能,近、远期疗效满意。

Objective： To observe the clinical effects of rrhaphy of gastrocnemius muscle tendon flap to repair the old rupture of achilles tendon. Methods： 15 patients with old rupture of achilles tendon were treated with rrhaphy of gastrocnemius muscle tendon flap in our hospital from January 2001 to January 2007. Patients were involved with functional rehabilitation training six weeks after the operation. Arner-Lindholm curative effect standards were used to evaluate the clinical effects during one year follow-up. Results： 13 cases wounds of fifteen patients had primary healing, free from infection, stiff and rupture again; 2 cases flaps skin were necrosis, delayed healing after dermatoplasty. The Arner-Lind- hohm method was used to assess the results of surgical treatment. 9 cases had excellent results, 4 cases had good results and 2 cases had poor results, with the excellent and good rate of 86.67%. Conclusion： Gastrocnemius muscle tendon flap is a good method to treat old rupture of Achilles tendon.