腓肠肌腱瓣翻转强化与止点重建联合中医疗法治疗跟腱断裂的临床研究

The Clinical Study of Repairing the Rupture of the Achilles Tendon with Gastrocnemius Tendon Flip Flap and Reconstruction of Insertion Combined Therapy of TCM

目的:探讨腓肠肌腱瓣翻转强化与止点重建手术联合中医疗法治疗跟腱断裂的临床疗效,优化中西医结合治疗跟腱断裂的临床方案。方法:回顾性分析32例跟腱断裂病例,采用腓肠肌腱瓣翻转强化与止点重建法手术修复断裂跟腱,术后给予中药内服外用,同时进行系统的康复锻炼,术后随访评估功能恢复情况。结果:32例患者均获得随访,术后半年,根据Arner-Lindholm评分标准及美国足踝外科功能评分标准(AOFAS评分)对治疗效果进行评价。评价结果:优30例,良2例。达优率93.75%。平均AOFAS评分:96.8。结论:腓肠肌腱瓣翻转强化与止点重建联合中医疗法治疗跟腱断裂临床疗效显著,有助于降低跟腱断裂治疗过程中的并发症发生率,有效促进了断裂跟腱的临床愈合。

Objective：To explore the clinical effect on repairing the rupture of the Achilles tendon with gastrocnemius tendon flip flap and reconstruction of insertion combined therapy of TCM.To find out the optimization plan for repairing the ruptured Achilles tendon with integrated Chinese-Western therapy.Methods：Retrospective analysis with 32 cases of ruptured Achilles tendon in our department.Using the gastrocnemius tendon flip flap strengthening method and the reconstruction of insertion method to repair the Achilles tendon.Internal taking Chinese medicine and external application after operation.Do the rehabilitation exercise systematically at the same time.Do the postoperative follow-up to value the recovery of the patients.Results：32patients were followed up.Value the effect half year after the operation according to the Arner-Lindholm scale and the AOFAS scale.30 excellenct cases,2good cases.The excellence rate is93.75%.The average AOFAS scale is 96.8.Conclusion：There was a significant excellent clinical effect of repairing the rupture of the Achilles tendon with using the Gastrocnemius tendon flap strengthening method and the reconstruction of the insertion method combined therapy of TCM.It can reduce the complications during the treatment course,and promote the healing of the ruptured Achilles tendon.