摘要
目的总结急性跟腱断裂治疗的研究进展。方法查阅近年关于急性跟腱断裂治疗的相关文献,进行总结分析。结果急性跟腱断裂治疗包括手术及保守治疗两种方式。手术治疗包括开放和经皮微创两种术式,术后跟腱再断裂发生率低,但存在较高的伤口感染及神经损伤等并发症风险。保守治疗后进行早期功能锻炼能减少跟腱再断裂发生率,但尚无统一的矫形支具和锻炼方法。结论手术与保守治疗急性跟腱断裂各有利弊,对功能恢复方面的评价尚无定论,下一步需对保守治疗后早期功能锻炼策略及其促进跟腱愈合的相关机制进行探索。
Objective To review the progress in the treatment of acute Achilles tendon rupture. Methods Recent literature about the treatment of acute Achilles tendon rupture was reviewed and analyzed. Results Treatments of acute Achilles tendon rupture include operative and non-operative treatments. Operative treatments include open surgery and percutaneous minimally invasive surgery. Compared with non-operative treatment, operative treatment can effectively reduce the re-rupture incidence, but it had higher complication incidences of wound infection and nerve injury. Although early functional rehabilitation during non-operative treatment could reduce the re-rupture incidence, there is no consistent orthopaedic device and guideline for functional rehabilitation. Conclusion Both operative and non-operative treatments have advantages and disadvantages for the treatment of acute Achilles tendon rupture. No consistent conclusion is arrived regarding functional recovery. Future studies should explore the strategy of early functional rehabilitation during non-operative treatment and its mechanism of promoting tendon healing.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2013年第5期628-632,共5页
Chinese Journal of Reparative and Reconstructive Surgery
基金
广东省科技计划资助项目(2009B011400041)~~
关键词
急性跟腱断裂
保守治疗
开放手术
经皮微创手术
Acute Achilles tendon rupture Non-operative treatment Open surgery Percutaneous minimally invasive surgery