| 带线锚钉联合V－Y腱成形术治疗陈旧性跟腱断裂 |
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投稿时间：2019-01-16
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| 作者 | Author | 单位 | Address | E-Mail |
| 施建东 |
SHI Jian-dong |
中国人民解放军第九〇三医院骨二科, 浙江 杭州 310004 |
The Second Department of Orthopaedics, No. 903 Hospital of People's Liberation Army, Hangzhou 310004, Zhejiang, China |
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| 金晶 |
JIN Jing |
中国人民解放军第九〇三医院骨二科, 浙江 杭州 310004 |
The Second Department of Orthopaedics, No. 903 Hospital of People's Liberation Army, Hangzhou 310004, Zhejiang, China |
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| 李玢 |
LI Bin |
中国人民解放军第九〇三医院骨二科, 浙江 杭州 310004 |
The Second Department of Orthopaedics, No. 903 Hospital of People's Liberation Army, Hangzhou 310004, Zhejiang, China |
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| 张志敬 |
ZHANG Zhi-jing |
中国人民解放军第九〇三医院骨二科, 浙江 杭州 310004 |
The Second Department of Orthopaedics, No. 903 Hospital of People's Liberation Army, Hangzhou 310004, Zhejiang, China |
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| 滕王锶源 |
TENGWANG Si-yuan |
中国人民解放军第九〇三医院骨二科, 浙江 杭州 310004 |
The Second Department of Orthopaedics, No. 903 Hospital of People's Liberation Army, Hangzhou 310004, Zhejiang, China |
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| 卢一生 |
LU Yi-sheng |
中国人民解放军第九〇三医院骨二科, 浙江 杭州 310004 |
The Second Department of Orthopaedics, No. 903 Hospital of People's Liberation Army, Hangzhou 310004, Zhejiang, China |
SJDONG0117@163.com |
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| 期刊信息：《中国骨伤》2019年，第32卷，第8期，第727-730页 |
| DOI：10.3969/j.issn.1003-0034.2019.08.010 |
| 基金项目: |
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中文摘要:
目的：探讨带线锚钉联合V-Y腱成形术治疗陈旧性跟腱断裂的临床疗效。
方法：2014年5月至2018年3月采用带线锚钉联合V-Y腱成形术治疗陈旧性跟腱断裂患者26例，男18例，女8例；年龄19~56（36.0±11.7）岁；病程42~62（49.0±5.3） d；跟腱短缩2~7（4.0±1.6） cm。观察术后并发症情况，手术前后采用美国足踝外科协会踝与后足评分（American Orthopaedic Foot and Ankle Soviety，AOFAS）进行临床疗效评价。
结果：所有患者获得随访，时间8~18（12.0±2.5）个月。术后无跟腱再断裂。术后3个月AOFAS评分（93.37±3.48）分较术前（57.26±5.06）分明显提高（t=9.564，P<0.05），其中优14例，良11例，差1例。
结论：带线锚钉联合V-Y腱成形术治疗陈旧性跟腱断裂，跟腱固定强度可靠，可明显改善患者的疼痛、行走功能，提高患者生活质量，功能恢复良好。 |
| 【关键词】跟腱 外科手术 治疗结果 |
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| Clinical effects of suture anchor with V-Y tenoplasty in treating old Achilles tendon rupture |
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ABSTRACT
Objective:To explore clinical effects of suture anchor with V-Y tenoplasty for the treatment of old Achilles tendon rupture.
Methods:From May 2014 to March 2018,26 patients with old Achilles tendon rupture treated by suture anchor with V-Y tenoplasty,including 18 males and 8 females aged from 19 to 56 years old with an average of (36.0±11.7) years old,the courses of disease ranged from 42 to 62 days with an average of (49.0±5.3) days;the distances of Achilles tendon-shortening ranged from 2 to 7 cm with an average of (4.0±1.6) cm. Postoperative complications were observed,preoperative and postoperative American Orthopaedic Foot and Ankle Soviety(AOFAS) score were used to evaluate clinical effects.
Results:All patients were followed up from 8 to 18 months with an average of(12.0±2.5) months. No Achilles tendon rupture occurred again. Postoperative AOFAS score at 3 months(93.37 ±3.48) was higher than before operation(57.26±5.06)(t=9.564,P<0.05),and 14 patients got excellent results,11 moderate and 1 poor.
Conclusion:Suture anchor with V-Y tenoplasty for old Achilles tendon rupture could achieve stable fixation,relieve pain,improve walking ability and quality of life,and also recover good function of ankle joint. |
| KEY WORDS Achilles tendon Surgical procedures,operative Treatment outcome |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 施建东,金晶,李玢,张志敬,滕王锶源,卢一生.带线锚钉联合V－Y腱成形术治疗陈旧性跟腱断裂[J].中国骨伤,2019,32(8):727~730 |
| 英文格式: | SHI Jian-dong,JIN Jing,LI Bin,ZHANG Zhi-jing,TENGWANG Si-yuan,LU Yi-sheng.Clinical effects of suture anchor with V-Y tenoplasty in treating old Achilles tendon rupture[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(8):727~730 |
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