跟腱断裂术后运动康复治疗观察

目的:探讨开放性跟腱断裂修复术后运动疗法康复治疗与自然恢复对疗效的影响。方法:对52例开放性跟腱断裂术后患者临床资料进行分析,术后随访8～18个月,观察疗效。结果:按Arner-Lindholm疗效评定标准,运动康复组优良率90.32%(28/31),自然恢复组优良率71.42%(15/21)。术后运动康复组伤口感染1例,无再次断裂。自然恢复组伤口感染3例,皮肤与跟腱粘连1例,再次断裂3例。结论:开放性跟腱断裂术后规则运动康复治疗,能有效提高疗效,减少术后并发症。

Objective ： Explore the effort of Exercise therapy rehabilitation and natural recovery after open repair of Achilles tendon rupture. Method： 52 cases of open clinical data of patients followed up 8 - 18 months after Achilles tendon rupture were analyzed to observe the effoet. Result： By Arner - Lindholm evaluation standard, Exereise rehabilitation group has a good rate of 90. 32% （ 28/31 ） , natural recovery group has a good rate of 71.42% （ 15/21 ）. 1 case has woumt infection in Postoperative exercise rehabilitation group, no re - fracture. 3 cases has wound intection in Natural group,1 case has Achilles tendon adhesion, 3 cases has Achilles tendon re - fracture. Conclusion： regular mntion achilles tendon rupture rehabilitation can improve efficacy, reduce postoperalivc complications after Achilles tendon rupture.