TWINFIX TI QUICK-T锚钉治疗跟腱止点撕脱的临床研究

The Clinical Study on the Use of TWINFIX TI QUICK-T Suture Anchor to Repair the Avulsion of the Bony Insertion of the Achilles Tendon at the Calcaneus

目的应用TWINFIX TI QUICK-T治疗跟腱止点撕脱伤,评价其疗效,为临床治疗提供参考。方法 2007年9月至2010年5月采用TWINFIX TI QUICK-T锚钉治疗跟腱止点撕脱伤16例,男10例,女6例;平均44.7岁。左侧7例,右侧9例。按AOFAS踝与后足功能评分标准评价疗效。结果随访6～24个月,平均13个月。术后无一例出现缝线裂开、切口感染、主要血管及神经损伤、内固定失效等并发症,术后恢复正常解剖关系及外观,踝关节功能恢复满意。本组16例,优12例,良2例,可2例,优良率87.5%。结论利用TWINFIX TI QUICK-T锚钉治疗跟腱止点撕脱是一种合理有效的方法,这种技术不仅能有效地对抗小腿三头肌的牵拉,还有利于术后踝关节早期功能锻炼及更好地恢复功能。

Objective Using TWINFIX TI QUICK-T suture anchors to repair the Achilles tendon close to its insertion avulsion.Evaluating its efficacy,to provide reference for clinical treatment.Methods Total 16 with the avulsion of the bony insertion of the Achilles tendon at the calcaneus were treated with TWINFIX TI QUICK-T suture anchor from 2007 to now.10 males and 6 females;aged 22 to 65 years,mean 44.7 years old.7 cases the left side,right side in 9 cases.By AOFAS ankle and hindfoot scoring function evaluated.Results Followed up 6～24 months,average of 13 months.No one cases happened suture dehiscence,wound infection occurred,main blood vessel nerve injury,fixation failure and other complications after operation and were normal anatomic relations and the appearance and function are satisfactory.Among 16cases,12cases had the excellent results,2case had the good results,2case had fair results.The total excellent and good rate was 87.5%.Conclusion More reasonable and secure fixation method is necessary in order to allow early functional rehabilitation.We use a technique to repair the Achilles tendon close to its insertion avulsion or tendon Achilles avulsion fracture（fix the avulsed fragment of Achilles tendon insertion） with TWINFIX TI QUICK-T suture anchors.This can neutralize the pull of the triceps surae and early post-operative rehabilitation program is allowed,it is conducive to a better recovery of the ankle joint function postoperative.