| 拇长屈肌腱转位结合挤压螺钉重建KuwadaⅣ型陈旧性跟腱断裂 |
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投稿时间：2014-03-17
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| 作者 | Author | 单位 | Address | E-Mail |
| 杜俊锋 |
DU Jun-feng |
浙江省上虞市人民医院骨科, 浙江 上虞 312300 |
Department of Orthopaedics, Shangyu People's Hospital, Shangyu 312300, Zhejiang, China |
dujunfeng_1982@163.com |
| 朱仰义 |
ZHU Yang-yi |
浙江省上虞市人民医院骨科, 浙江 上虞 312300 |
Department of Orthopaedics, Shangyu People's Hospital, Shangyu 312300, Zhejiang, China |
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| 期刊信息：《中国骨伤》2015年，第28卷，第5期，第450-453页 |
| DOI：10.3969/j.issn.1003-0034.2015.05.014 |
| 基金项目: |
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中文摘要:
目的:探讨拇长屈肌腱转位后应用挤压螺钉重建陈旧性KuwadaⅣ型跟腱断裂的临床效果。
方法:回顾性分析2010年9月至2012年6月,拇长屈肌腱转位后采用挤压螺钉固定重建26例陈旧性跟腱断裂患者的临床资料,其中男18例,女8例;年龄20～66岁,平均44.2岁。所有患者为单侧损伤。MRI显示跟腱断端距离为6.0～9.0 cm.观察术后并发症情况,并采用美国足踝外科协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝与后足评分及Leppilahti跟腱修复评分进行评价疗效。
结果:26例获得随访,时间18～68个月,平均30.4个月。术后无神经损伤及切口感染,所有患者切口Ⅰ期愈合。术后踝关节外形及功能恢复良好,AOFAS踝与后足评分由术前52.27±12.30提高至术后90.92±6.36(t=-18.26,P<0.05).Leppilahti跟腱修复评分术前34.23±12.86提高至术后90.00±5.10分(t=-22.67,P<0.05).
结论:拇长屈肌腱转位后应用挤压螺钉固定来重建陈旧性KuwadaⅣ型跟腱断裂具有操作简单,术后恢复快、肌腱固定牢靠、并发症少的优点。 |
| 【关键词】跟腱 腱损伤 腱转移术 修复外科手术 |
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| Flexor hallucis tendon transfer combined with an interference screw reconstruction for chronic Achilles tendon rupture of Kuwada IV |
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ABSTRACT
Objective:To explore the clinical effect of interference screw and flexor hallucis longus tendon as augmentation material in repair of chronic Achilles tendon rupture.
Methods:From September 2010 to June 2012,26 patients with chronic Achilles tendon rupture were treated,including 18 males and 8 females with an average age of 44.2 years old (20 to 66 years old). All patients were unilateral damage. MRI showed the Achilles tendon ends' distance was 6.0 to 9.0 cm. The postoperative complications were observed. The curative effect was assessed by American Orthopedic Foot and Ankle Society and Leppilahti score.
Results:All the 26 patients were followed up for 18 to 68 months (means 30.4 months). No neurological injury and infection of incision occurred,all patients were stage I incision healing. The shape and function of the ankle were recovered well. The average AOFAS score increased from 52.27±12.30 preoperatively to 90.92±6.36 postoperatively. Leppilahti Achilles Tendon Repair score increased from 34.23±12.86 preoperatively to 90.00±5.10 postoperatively.
Conclusion:The flexor hallucis tendon transfer with an interference screw technique for repairing the chronic Achilles tendon rupture of type IV of Kuwada had advantages of simple operation,quick recovery,firm tendon fixation,and less complications. |
| KEY WORDS Achilles tendon Tendon injuries Tendon transfer Reconstructive surgical procedures |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 杜俊锋,朱仰义.拇长屈肌腱转位结合挤压螺钉重建KuwadaⅣ型陈旧性跟腱断裂[J].中国骨伤,2015,28(5):450~453 |
| 英文格式: | DU Jun-feng,ZHU Yang-yi.Flexor hallucis tendon transfer combined with an interference screw reconstruction for chronic Achilles tendon rupture of Kuwada IV[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(5):450~453 |
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