Lindholm术和Vulpius术治疗慢性跟腱断裂的临床研究

Clinical Study of Lindholm Operation and Vulpius Operation on Chronic Achilles Tendon Rupture

【目的】探讨Lindholm术和Vulpius术治疗慢性跟腱断裂的临床疗效。【方法】回顾性分析2014年2月至2016年12月本院收治的97例因慢性跟腱断裂行手术治疗患者的临床资料,根据手术方法的不同,将其分为Lindholm组(n=50)和Vulpius组(n=47)。术后分析总结两组患者临床疗效及术后并发症发生情况。【结果】Lindholm组患者优20例,良26例,可4例,差0例,优良率为92.0%(46/50);Vulpius组患者优20例,良22例,可2例,差1例,优良率为89.4%(42/47);两组患者优良率之间比较无明显统计学差异(X^2=0.2,P=0.646>0.05)。两组均无跟腱再次断裂、皮缘坏死发生。Lindholm组术后出现3例切口感染,1例腓肠神经损伤,术后并发症发生率为8.0%;Vulpius组患者术后出现4例切口感染,术后并发症发生率为8.5%,两组间并发症发生率比较无统计学差异(X^2=0.008,P=0.929>0.05)。【结论】Lindholm术或Vulpius术治疗慢性跟腱断裂疗效均佳,术后并发症发生率均低,可根据患者自身情况酌情选择。

[Objective] To investigate the clinical efficacy of Lindholm and Vulpius in the treatment of chronic Achilles tendon rupture.[Methods]The clinical data of 97 patients with chronic Achilles tendon rupture treated by surgery from February 2014 to December 2016 were retrospectively analyzed.According to the different surgical methods,they were divided into Lindholm group(n=50)and Vulpius group(n=47).The clinical efficacy and complications of the two groups were analyzed and summarized after operation.[Results]There were 20 excellent cases,26 good cases,4 fair cases and 0 poor cases in the Lindholm group,the excellent and good rate was 92.0%(46/50);20excellent cases,22 good cases,2 fair cases,1 poor case in the Vulpius group,the excellent and good rate was 89.4%(42/47);there was no significant difference between the two groups(X^2=0.2,P=0.646>0.05).There was no re-rupture of Achilles tendon and skin edge necrosis in both groups.In the Lindholm group,incision infection occurred in 3 cases and sural nerve injury occurred in 1 case.The incidence of complications was 8.0%.There were 4 cases of incision infection in the Vulpius group,and the incidence of complications was 8.5%.There was no significant difference in the incidence of complications between the two groups(X^2=0.008,P=0.929>0.05).[Conclusion]Lindholm operation or Vulpius operation is effective in treating chronic Achilles tendon rupture,and the incidence of complications is low.It can be selected according to the patients own situation.