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急性闭合性跟腱断裂的手术治疗 被引量:4

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摘要 目的:分析急性闭合性跟腱断裂的流行病学特征,观察改良Kessler缝合法修复急性闭合跟腱断裂的临床疗效。方法:采用改良Kessler缝合法治疗79例急性闭合跟腱断裂,有74例患者获得随访,随访时间平均24个月,观察术后功能恢复及并发症情况,并按Arner-Lindholm评分标准进行术后疗效评定。结果:按Arner-Lindholm评分标准,本组优64例,良9例,差1例,优良率达98.65%。所有病例中未发生血管神经损伤,术后未发生深静脉血栓形成,其中发生跟腱再次断裂4例(5.41%),术后发生深部感染而需行清创术2例(2.70%)。结论:对急性闭合跟腱断裂采用改良Kessler缝合法修复,术中注意保护腱周组织及跟腱缝合后完整修复,同时辅以术后短期、规范的石膏外固定及循序渐进的康复训练计划可以取得优良的治疗效果。
出处 《南京医科大学学报(自然科学版)》 CAS CSCD 北大核心 2009年第12期1730-1732,共3页 Journal of Nanjing Medical University(Natural Sciences)
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参考文献9

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同被引文献22

  • 1孙淑红,孙臣友,唐茂林.跟腱周围软组织血供与跟腱断裂修补术入路选择的解剖学研究[J].中国骨伤,2007,20(2):106-107. 被引量:56
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  • 3Gigante A,Moschini A,Verdenelli A,et al.Open versus percutaneous repair in the treatment of acute Achilles tendon rupture:a randomized prospective study.Knee Surg Sports Traumatol Arthrosc,2008,16:204-209.
  • 4Strom AC,Casillas MM.Achilles tendon rehabilitatioa Foot Ankle Clin,2009,14(4):773-782.
  • 5Kangas J,Pajala A,Siira P,et al.Early functional treatment versus early immobilization in tension of the musculotendinous unit after Achilles rupture repair a prospective,randomized,clinical study.J Trauma,2003,54(6):1171-1180.
  • 6Suchak AA,Bostick GP,Beaupre LA,et al.The influence of early weight-bearing compared with non-weight-bearing after surgical repair of the Achilles tendon.J Bone Joint Surg Am,2008,90(9):1876-1883.
  • 7Strom AC,Casillas MM.Achilles tendon rehabilitation.Foot Ankle Clin,2009,14(4):773-782.
  • 8Kangas J,Pajala A,Siira P,et al.Early functional treatment versus early immobilization in tension of the musculotendinous unit after Achilles rupture repair:a prospective,randomized,clinical study[J].J Trauma,2003,54(6):1171-1180.
  • 9Suchak AA,Bostick GP,Beaupre LA,et al.The influence of early weight-bearing compared with non-weight-bearing after surgical repair of the Achilles tendon[J].J Bone Joint Surg Am,2008,90(9):1876-1883.
  • 10Arner O,Lindholm A. Subcutaneous rupture of the A- chilles tendon:a study of 92 cases[J].Acta Chir Scand Suppl,1959,116(Supp 239): 1-51.

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