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小切口跟骨结节处钻孔固定治疗闭合性跟腱断裂

小切口跟骨结节处钻孔固定治疗闭合性跟腱断裂
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摘要 目的:观察小切口跟骨结节处钻孔固定治疗闭合性跟腱断裂的可行性及疗效。方法:通过对10例闭合性跟腱断裂病人行小切口跟骨结节处钻孔拉线固定治疗。结果:根据Arner-Lindholm标准进行评定,本组10例术后均获随访,时间6个月~3a(平均14个月),优9例,良1例,优良率100%。随访期内无跟腱再断裂、周围神经损伤及深部切口感染等并发症。结论:小切口跟骨结节处钻孔固定治疗闭合性跟腱断裂方法创伤小,优良率高,术后并发症少,为一种治疗闭合性跟腱断裂的好方法。 Objective:To observe the feasibility and efficacy of stitching Achilles tendon into drilled holes nearby the Calcaneal tubercle under small incision on closed Achilles tendon rupture. Methods:10 cases of closed Achilles tendon rupture were stitched Achilles tendon into drilled holes nearby the Calcaneal tubercle under small incision.Results:All the 10 patients were followed up from 0.5 to 3.0 years(average 14 months) .According to the Arner-Lindholm rating system,9 patients were rated as excellent and 1 good.The excellent and good rate was 100%.Major complications such as re-rupture,peripheral nervous injury,deep incision infection were not found.Conclusion:Stitching Achilles tendon into drilled holes nearby the Calcaneal tubercle under small incision is a good way for closed Achilles tendon rupture since its advantages of minimal invasion,high excellent and good rate and few post-operative complications.
出处 《临床医药实践》 2010年第2X期136-138,共3页 Proceeding of Clinical Medicine
关键词 跟腱断裂 小切口 手术 Achilles tendon rupture small incision drilling fixing
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  • 1王文德.跟腱开放性断裂的治疗(附48例49侧报告)[J].中级医刊,1989,24(12):28-29. 被引量:4
  • 2SUCHAK A A,BOSTICK G,REID D.The incidence of achilles tendon ruptures in Edmonhm,Canada[J].Foot Ankle Int,2005,26 (11):932-936.
  • 3陆裕朴,胥少汀,葛宝丰,等.实用骨科学[M].北京:人民军医出版社,2004:759-762.

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