带线锚钉Krackow缝合法修复急性跟腱断裂临床研究

Depuy ditck quick anchor with Krackow repair for acute Achilles tendon rupture

目的急性跟腱断裂是常见的肌腱损伤,带线锚钉较传统修复方法具有简化手术操作、生物力学性能较优的特点。评估带线锚钉Krackow缝合法修复急性跟腱断裂临床疗效。方法 2009年11月至2011年5月,共收治急性新鲜跟腱断裂患者30例,断裂平面距离止点平均3.0 cm,随机分为带线锚钉Krackow缝合法修复手术组和单纯Krackow缝合法修复手术组。术后小腿石膏固定6周,后期进行功能训练,进行临床疗效随访对比研究。结果所有患者均获得随访,平均随访时间14个月,术后6个月内美国足踝外科功能评分带线锚钉Krackow缝合法修复手术组较单纯Krackow缝合法修复手术组高,2组差异有统计学意义(P<0.05),术后早期(术后1年)患者满意率前者也较优(P<0.05)。结论带线锚钉Krackow缝合法修复急性跟腱断裂临床疗效肯定,具有肌腱修复可靠、操作简单、踝关节功能保护好的优点,具有良好的应用前景。

Objective Acute Achilles tendon rupture is a common tendon injury. This study was to investigate the clinical effect of depuy mitck quick anchor （ G II ） with Krackow repair in the treatment acute Achilles tendon rupture. Methods Between November 2009 and May 2011, 30 patients with acute Achilles tendon rupture averaging 3.0 cm from the fracture plane to the check point underwent G II with Krackow repair （group A） and Krackow repair alone （group B） , respectively, on a voluntary basis. Postop- erative plaster cast immobilization of the crus lasted 6 weeks, followed by functional training. Results The patients were followed up for 12- 18 （mean 14） months. Within 6 months after surgery, the American Orthopedic Foot and Ankle Society （AOFAS） rating score was significantly higher in group A than in B （ P 〈 0.05 ）, and so was the patients＇ satisfaction at 12 months after operation （ P 〈 0.05 ）. Conclusion G II with Krackow repair has sure positive effects in the treatment of acute Achilles tendon rupture, with its advantages of simple operation, reliable tendon repair and ankle function protection.