| 采用束间缝合法治疗急性跟腱断裂的疗效观察 |
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投稿时间：2017-08-12
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| 作者 | Author | 单位 | Address | E-Mail |
| 王成林 |
WANG Cheng-lin |
协和江南医院 江夏区第一人民医院骨科, 湖北 武汉 430200 |
Deparment of Orthopaedics, the First People's Hospital of Jiangxia District, Wuhan 430200, Hubei, China |
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| 曹开学 |
CAO Kai-xue |
协和江南医院 江夏区第一人民医院骨科, 湖北 武汉 430200 |
Deparment of Orthopaedics, the First People's Hospital of Jiangxia District, Wuhan 430200, Hubei, China |
jimmy811106@163.com |
| 杨俊忠 |
YANG Jun-zhong |
协和江南医院 江夏区第一人民医院骨科, 湖北 武汉 430200 |
Deparment of Orthopaedics, the First People's Hospital of Jiangxia District, Wuhan 430200, Hubei, China |
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| 期刊信息：《中国骨伤》2018年，第31卷，第2期，第183-185页 |
| DOI：10.3969/j.issn.1003-0034.2018.02.018 |
| 基金项目: |
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中文摘要:
目的：观察采用束间缝合法治疗急性跟腱断裂的临床疗效。
方法：2013年4月至2015年1月治疗15例急性闭合性跟腱断裂病例，其中男12例，女3例，年龄27~56岁，平均37.5岁。患者入院后均采用束间缝合法修复跟腱，术后6周石膏制动，门诊随访指导功能锻炼。
结果：所有例患者获得完整随访，时间9~17.5个月，平均13.5个月，按美国足踝外科协会（AOFAS）踝与后足评分评价疗效，术后6个月（93.3±3.5）分。患者完全负重活动时间平均1.6个月，返回至原工作岗位时间平均4.7个月。所有手术切口Ⅰ期愈合，无切口感染、切口皮缘坏死病例，无跟腱再次断裂，未出现腓肠神经损伤。
结论：利用束间缝合法治疗急性跟腱断裂具有手术创伤小、手术时间短、跟腱吻合修复可靠、术后并发症少、跟腱功能恢复良好等优点，在急性跟腱断裂治疗中取得良好治疗效果，值得临床推广使用。 |
| 【关键词】跟腱 创伤和损伤 外科手术 |
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| Clinical therapeutic effect of a new bundle-to-bundle suturing method for acute Achilles tendon rupture |
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ABSTRACT
Objective: To investigate the clinical effect of a new bundle-to-bundle suturing method for acute Achilles tendon rupture.
Methods: From April 2013 to January 2015,15 patients with acute Achilles tendon rupture were treated with a new bundle-to-bundle suturing method including 12 males and 3 females with an average age of 37.5 years old ranging from 27 to 56 years old. All of them were immobilized by cast for 6 weeks on the underlying limbs,and were educated for a rehabilitation training during the follow-up.
Results: All the patients were followed up for 9 to 17.5 months with an average of 13.5 months. According to the American Ankle Surgery Association (AOFAS),ankle and foot score was 93.3±3.5 at 6 months after operation. All patients got incomplete weight-bearing at 1.6 months on average after the operation,and back to primary work position 4.7 months later on average. All the wounds got primary healing. No incisional infection,necrosis of incisional marginal necrosis,rupture of the Achilles tendon,and gastrocnemius injury occurred.
Conclusion: The surgical treatment of acute Achilles tendon rupture with bundle-to-bundle suturing method has advantages of mini-invasion,a low rate of incision problems and quick function recovery,and was valuable spread in clinic. |
| KEY WORDS Achilles tendon Wounds and injuries Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王成林,曹开学,杨俊忠.采用束间缝合法治疗急性跟腱断裂的疗效观察[J].中国骨伤,2018,31(2):183~185 |
| 英文格式: | WANG Cheng-lin,CAO Kai-xue,YANG Jun-zhong.Clinical therapeutic effect of a new bundle-to-bundle suturing method for acute Achilles tendon rupture[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(2):183~185 |
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