Achillon微创修复治疗急性闭合性跟腱断裂对患者关节活动度与日常生活能力影响

Achillon Minimally Invasive Repair for Acute Closed Achilles Tendon Rupture on the Patient's Range of Motion and Ability to Perform Daily Living

目的探究Achillon微创修复干预急性损伤的闭合性跟腱断裂情况对病例关节活动度以及日常生活能力的效果。方法择取2019年6月至2021年6月间接诊的82例急性闭合性跟腱断裂病例为分析对象,随机数字表法分观察组、对照组,各41例。对照组行传统手术的干预,观察组则行Achillon微创修复术,对比两组的手术有关指标以及术后的恢复效果。结果两组的手术实际用时、术中的血液流失总量、创口切开长度以及总的住院天数无统计学意义(P>0.05)。观察组的AOFAS评定分值高出对照组(P<0.05);然关节活动度方面无统计学的意义(P>0.05)。观察组的日常生活能力评定得分高于对照组,并发症率则为0,低于对照组统计的12.20%,有统计学意义(P<0.05)。结论Achillon微创修复术用在干预急性损伤的闭合性跟腱断裂病例时可以收获优于传统手术的效果,对病例带来的创伤更加轻微,益于踝关节的功能康复以及生活能力的提升,为一种新型且高效的术式,建议推广运用。

Objective To explore the effect of Achillon minimally invasive repair intervention on acute closed Achilles tendon rupture on patients'joint mobility and activities of daily living.Methods 82 cases of acute closed Achilles tendon rupture received from June 2019 to June 2021 were selected as the observation objects.They were randomly divided into observation group and control group,with 41 cases respectively.The control group received traditional surgical intervention,and the observation group received Achillon minimally invasive repair.The surgical related indicators and postoperative recovery of the two groups were compared.Results There was no significant difference in the operation time,total intraoperative bleeding,wound length and total hospital stay between the two groups(P>0.05).The AOFAS score of the observation group was significantly higher than that of the control group(P<0.05),however,there was no significant difference in the range of motion between the two groups(P>0.05).The ADL score of the observation group was higher than that of the control group,and the complication rate was 0,lower than 12.20%of the control group,which was statistically significant(P<0.05).Conclusion Achillon minimally invasive repair intervention in acute closed Achilles tendon rupture can achieve better results than traditional surgery,cause less trauma to patients,and is beneficial to the functional rehabilitation of ankle joint and the improvement of living ability.It is a new and efficient operation,which is recommended to be popularized.