[1]钟彬,刘芳溪,孙超,等.纵横双切口微创缝合治疗急性跟腱断裂23例[J].中国中医骨伤科杂志,2024,32(12):70-74.[doi:10.20085/j.cnki.issn1005-0205.241213 ]
　ZHONG Bin,LIU Fangxi,SUN Chao,et al.Bunnell Suture with Longitudinal and Transverse Double Incisions for the Treatment of Acute Achilles Tendon Rupture 23 Cases[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(12):70-74.[doi:10.20085/j.cnki.issn1005-0205.241213 ]
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纵横双切口微创缝合治疗急性跟腱断裂23例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年12期
页码:
70-74
栏目:
临床报道
出版日期:
2024-12-15

文章信息/Info

Title:
Bunnell Suture with Longitudinal and Transverse Double Incisions for the Treatment of Acute Achilles Tendon Rupture 23 Cases
文章编号:
1005-0205(2024)12-0070-05
作者:
钟彬1; 刘芳溪2; 孙超1; 钟伟1△
1山东第二医科大学附属医院(山东 潍坊,261021)
2陆军第八十集团军医院
Author(s):
ZHONG Bin1; LIU Fangxi2; SUN Chao1; ZHONG Wei1△
1Affiliated Hospital of Shandong Second Medical University,Weifang 261021,Shandong China; 2The Hospital of No.80 Group Army of PLA,Weifang 261021,Shangdong China.
关键词:
跟腱断裂;  双切口;  跟腱缝合;  微创
Keywords:
achilles tendon rupture;  double incision;  achilles tendon suture;  minimal invasive
分类号:
R686.1
DOI:
10.20085/j.cnki.issn1005-0205.241213
文献标志码:
B
摘要:
目的:评价纵横双切口微创缝合治疗急性跟腱断裂的效果。方法:自2021年3月至2024年3月采用纵横双切口微创缝合治疗急性跟腱断裂患者23例,其中男19例,女4例; 年龄中位数为39岁; 受伤至手术时间平均为1.5 d。均为单侧闭合完全断裂。取跟腱断端凹陷处横切口及近端纵切口,将跟腱远、近残端分别牵引出皮外,Bunnell法分别缝合后再牵回体内打结,并配合石膏外固定,规范化功能康复。结果:所有病例均获随访,随访时间为3～16个月,中位数为12个月; 手术时间为(33.52±7.63)min,术中出血量为(25.50±6.81)mL。无切口延迟愈合、感染、腓肠神经损伤、下肢深静脉血栓形成、再断裂等并发症。末次随访时屈膝90°位踝关节背伸20.30°±6.75°,屈曲43.68°±8.31°,跟腱完全断裂者评分为(85.66±10.28)分,美国足踝外科协会(AOFAS)踝-后足评分为(91.36±6.13)分。疗效评价优14例,良9例,优良率为100%。结论:纵横双切口Bunnell缝合法治疗急性跟腱断裂,具有创伤小、操作简便、缝合牢固、并发症少、功能恢复好等优点,值得临床推广应用。
Abstract:
Objective:To evaluate the effect of Bunnell suture with longitudinal and transverse double incisions in the treatment of acute achilles tendon rupture.Methods:From March 2021 to March 2024,23 patients with acute achilles tendon rupture were treated using the longitudinal and transverse double incision Bunnell suture,including 19 males and 4 females,with a median age of 39 years old.The average time from injury to surgery was 1.5 d.All were closed.Took a transverse incision and a proximal longitudinal incision at the concave end of the achilles tendon fracture,pull the distal and proximal residual ends of the achilles tendon out of the skin,suture them separately using the Bunnell suture,and then pull them back into the body for knotting.Combined with plaster external fixation,standardize functional rehabilitation.Results:All cases were followed up for 316 months,with a median of 12 months.The surgical time was(33.52±7.63)min,and the intraoperative blood loss was(25.50±6.81)mL.There was no occurrence of complications such as delayed wound healing,infection,sural nerve injury,lower limb deep vein thrombosis,or re rupture.At the last follow-up,ankle dorsiflexion was 20.30°±6.75°,flexion was 43.68°±8.31°,achilles tendon complete rupture score was(85.66±10.28)points.The ankle and hindfoot score of American Orthopaedic Foot and Ankle Association was(91.36±6.13)points,among them,14 cases were excellent,9 cases were good,and the excellent and good rate was 100%.Conclusion:The longitudinal and transverse double incision Bunnell suture method for the treatment of acute achilles tendon rupture has the advantages of small trauma,simple operation,reliable suture,fewer complications,and good functional recovery,which is worthy of clinical promotion.

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备注/Memo

备注/Memo:
△通信作者 E-mail:fgdgggzhn@126.com
更新日期/Last Update: 2024-12-05