微创无张力缝合技术修复急性跟腱断裂22例

22 Cases Clinical Study on Minimally Invasive Tension-Free Suture Technique for Repairing Acute Achilles Tendon Rupture

目的:探讨微创切口无张力缝合技术修复急性跟腱断裂的临床效果。方法:22例患者均为闭合性新鲜跟腱断裂,微创无张力技术修复吻合断端,所有患者均随访8~27个月,平均(18.1±1.2)个月。按Aruer Lindholm评分标准进行术后疗效评定。结果:所有患者切口均愈合,无切口感染,无腓肠神经损伤。按Arner Lindholm评分标准,术后3个月、6个月、12个月,无张力技术修复跟腱愈合良好,功能恢复良好。结论:微创无张力缝合技术修复新鲜跟腱断裂是一种较为理想的方法,具有术后疗效优良、功能恢复迅速、无明显术后并发症等优点。

Objective:To analyze the clinical efficacy of minimally invasive incision tension-free suture in the repair of acute achilles tendon rupture.Methods:22 patients with closed fresh Achilles tendon rupture were repaired and anastomosed by minimally invasive tension-free technique.All patients were followed up for 8 to 27 months(mean(18.1±1.2) months).The postoperative efficacy was evaluated according to Aruer Lindholm scoring standard.Results:All incisions healed without infection or sural nerve injury.According to Arner Lindholm scoring standard,3 months,6 months and 12 months after surgery,the excellent and good rate of the tension free restoration group was better than that of the broken end restoration group,with statistical significance.Conclusion:The minimally invasive incision tension-free suture technique is an ideal method for repairing fresh achilles tendon rupture.