[1]汪志芳 蒋逸秋 张黎明 史晓鹏 王云 马勇.微创无张力缝合技术修复急性跟腱断裂22例[J].中国中医骨伤科杂志,2022,30(04):51-53.
　WANG Zhifang JIANG Yiqiu ZHANG Liming SHI XiaopengWANG Yun MA Yong.22 Cases Clinical Study on Minimally Invasive Tension-Free Suture Technique for Repairing Acute Achilles Tendon Rupture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(04):51-53.
点击复制

微创无张力缝合技术修复急性跟腱断裂22例()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年04期
页码:
51-53
栏目:
临床报道
出版日期:
2022-04-15

文章信息/Info

Title:
22 Cases Clinical Study on Minimally Invasive Tension-Free Suture Technique for Repairing Acute Achilles Tendon Rupture
文章编号:
1005-0205(2022)04-0051-03
作者:
汪志芳1 蒋逸秋2 张黎明1 史晓鹏1 王云1 马勇3
1江苏张家港市中医医院关节科(江苏 张家港,215600)2南京市第一医院运动关节科3南京中医药大学
Author(s):
WANG Zhifang1 JIANG Yiqiu2 ZHANG Liming1 SHI Xiaopeng1WANG Yun1 MA Yong3
1Zhangjiagang Hospital of Traditional Chinese Medicine,Zhangjiagang 215600,Jiangsu China; 2Nanjing First Hospital,Nanjing 210006,China; 3Nanjing University of Chinese Medicine,Nanjing 210023,China.
关键词:
微创; 无张力缝合; 急性跟腱断裂
Keywords:
minimally invasive;  tension-free suture;  acute achilles tendon rupture
分类号:
R681.1
文献标志码:
B
摘要:
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。
Abstract:
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.

参考文献/References:

[1] KEATING J F,WILL E M.Operative versus non-operative treatment of acute rupture of tendo Achillis:a prospective randomised evaluation of functional outcome[J].J Bone Joint Surg Br,2011,93(8):1071-1078.
[2] LANTTO I,HEIKKINEN J,FLINKKILA T,et al.A prospective randomized trial comparing surgical and nonsurgical treatments of acute Achilles tendon ruptures[J].Am J Sports Med,2016,44(9):2406-2414.
[3] OLSSON N,SILBERNAGEL K G,ERIKSSON B I,et al.Stable surgical repairwith accelerated rehabilitation versus nonsurgical treatment for acute Achilles tendon ruptures:a randomized controlled study[J].Am J Sports Med,2013,41(12):2867-2876.
[4] WILLITS K,AMENDOLA A,BRYANT D,et al.Operative versus nonoperative treatment of acute Achilles tendon ruptures:a multicenter randomized trial using accelerated functional rehabilitation[J].J Bone Joint Surg Am,2010,92(17):2767-2775.
[5] HEIKKINEN J,LANTTO I,FLINKKILA T,et al.Soleus atrophy is common after the nonsurgical treatment of acute achilles tendon ruptures:a randomized clinical trial comparing surgical and nonsurgical functional treatments[J].The American Journal of Sports Medicine,2017,45(6):1395-1404.
[6] TANG K,THERMANN H,DAI G,et al.Arthroscopically assisted percutaneous repair of fresh closed achilles tendon rupture by kessler’s suture[J].The American Journal of Sports Medicine,2007,35(4):589-596.
[7] AISAIDING A,WANG J,MAIMAITI R,et al.A novel minimally invasive surgery combined with early exercise therapy pro-moting tendon regeneration in the treatment of spontaneous Achilles tendon rupture[J].Injury,2018,49(3):712-719.
[8] 贾乐生,夏凡,杨爽,等.小切口改良Bunnell缝合法治疗新鲜闭合跟腱断裂30例[J].中国中医骨伤科杂志,2017,25(3):51-52.
[9] 曾屹,李翔,王利军,等.改良五切口法治疗新鲜闭合跟腱断裂15例[J].中国中医骨伤科杂志,2021,29(4):60-62.
[10] 李永耀,程灏,朱立国,等.应用带针爱惜邦线微创治疗急性闭合性跟腱断裂37例[J].中国中医骨伤科杂志,2019,27(9):59-61.
[11] 谭明磊,张力,胡戈亮,等.锁边缝合法治疗新鲜跟腱断裂17例[J].中国中医骨伤科杂志,2020,28(3):73-74.
[12] TEJWANI N C,LEE J,WEATHERALL J,et al.Acute Achilles tendon ruptures:a comparison of minimally invasive and open approach repairs followed by early rehabilitation[J].Am J Orthop(Belle Mead NJ),2014,43(10):E221-E225.
[13] JIELILE J,BADALIHAN A,QIANMAN B,et al.Clinical outcome of exercise therapy and early postoperative rehabilitation for treatment of neglected Achilles tendon rupture:a randomized study[J].Knee Surg Traumatol Arthrosc,2016,24(7):2148-2155.
[14] VALKERING K P,AUFWERBER S,RANUCCIO F,et al.Functional weight bearing mobilization after Achilles tendon rupture enhances early healing response:a single blindedrandomized controlled trial[J].Knee Surg Sports Traumatol Arthrosc,2017,25(6):1807-1816.
[15] NILSSON-HELANDER K,THURIN A,KARLSSON J,et al.High incidence of deep venous thrombosis after Achilles tendon rupture:a prospective study[J].Knee Surg Sports Traumatol Arthrosc,2009,17(10):1234-1238.

备注/Memo

备注/Memo:
基金项目:苏州市医学重点学科(SZXK202120)
更新日期/Last Update: 1900-01-01