应用腓肠肌腱膜瓣翻转术治疗急性闭合性跟腱断伤

Transfer of the gastrocnemius tendon flap to treat acute closing achilles tendon break

目的探讨应用腓肠肌腱膜瓣翻转术治疗急性闭合性跟腱断伤的临床效果。方法对23例急性闭合性跟腱断伤患者采用腓肠肌腱膜瓣翻转术治疗的临床资料进行分析。结果23例获得随访6个月～3年,平均8个月。患者去除石膏外固定后,进行功能训练后均提踵有力无疼痛及跛行,优良率达91.3%。结论对于急性闭合性跟腱断伤采用腓肠肌腱膜瓣翻转术治疗疗效满意,手术同时修复腱周组织对于跟腱断伤愈合防止术后并发症具有重要意义。

Objective To explore therapeutic effects of gastrocnemius tendon flap transfer in management of acute closing achilles tendon break. Methods 23 cases of acute closing achilles tendon break were treated with gastrocnemius tendon flap transfer. Results These patients were followed up for 0. 5 to 3 years （average 8 months）. After removal of gypsum fixation and a period of function exercising,all patients could lift heels effectively with no pain and claudieation,The total excellent and fine rate of this method is 91.3%. Conclusion Transfer of the gastrocnemius tendon flap have satisfactory effects on healing acute closing achilles tendon break. Paratenon could be fixed in surgery meanwhile, it has important significance in healing of achilles tendon break and preventing postoperative complications.