| 缝线锚钉修复跟腱近止点断裂的疗效评价 |
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Received:November 28, 2009
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| 作者 | Author | 单位 | Unit | E-Mail |
| 刘良乐 |
LIU Liang-le |
温州医学院附属第三医院骨科，浙江 温州 325200 |
Department of Orthopaedics and Trauma Surgery,the Third Affiliated Hospital of Wenzhou Medical College,Wenzhou 325200,Zhejiang,China |
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| 谢秉局 |
XIE Bing-ju |
温州医学院附属第三医院骨科，浙江 温州 325200 |
Department of Orthopaedics and Trauma Surgery,the Third Affiliated Hospital of Wenzhou Medical College,Wenzhou 325200,Zhejiang,China |
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| 王伟良 |
WANG Wei-liang |
温州医学院附属第三医院骨科，浙江 温州 325200 |
Department of Orthopaedics and Trauma Surgery,the Third Affiliated Hospital of Wenzhou Medical College,Wenzhou 325200,Zhejiang,China |
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| 戴鸣海 |
DAI Ming-hai |
温州医学院附属第三医院骨科，浙江 温州 325200 |
Department of Orthopaedics and Trauma Surgery,the Third Affiliated Hospital of Wenzhou Medical College,Wenzhou 325200,Zhejiang,China |
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| 杨国敬 |
YANG Guo-jing |
温州医学院附属第三医院骨科，浙江 温州 325200 |
Department of Orthopaedics and Trauma Surgery,the Third Affiliated Hospital of Wenzhou Medical College,Wenzhou 325200,Zhejiang,China |
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| 汤呈宣 |
TANG Cheng-xuan |
温州医学院附属第三医院骨科，浙江 温州 325200 |
Department of Orthopaedics and Trauma Surgery,the Third Affiliated Hospital of Wenzhou Medical College,Wenzhou 325200,Zhejiang,China |
tcxuan@163.com |
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| 期刊信息：《中国骨伤》2010年23卷，第3期，第177-179页 |
| DOI：10.3969/j.issn.1003-0034.2010.03.008 |
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目的：探讨应用缝线锚钉修复跟腱近止点断裂的可行性、手术技巧与临床疗效。
方法：回顾性分析自2005年6月至2008年8月应用缝线锚钉修复的16例跟腱近止点断裂患者的临床资料。其中，男13例，女3例；年龄17～46岁，平均33.5岁。术后不同时期对患者进行不同内容的康复训练。对手术时间、锚钉置入位置和术中术后并发症等进行分析，采用Arner -Lindholm标准对跟腱功能恢复情况进行评估。
结果：平均随访时间13.2个月，所有患者均获得随访，无异物反应、跟腱再断裂等。平均手术时间35.5 min,术中均无医源性神经、血管、肌腱等损伤。16例共置入缝线锚钉19枚，其中1枚置偏。跟腱功能恢复情况：优13例，良2例，差1例。随访工作及生活满意，X线均未见锚钉移位。
结论：应用缝线锚钉修复跟腱近止点断裂，手术简捷、固定确实、疗效优良、并发症低，是一种较可靠而有效的治疗方法。 |
| [关键词]:跟腱 缝合技术 创伤和损伤 功能恢复 |
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| Therapeutic effects of suture anchors for the reconstruction of distal tendo achillis rupture |
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Abstract:
Objective: To investigate the techniques and therapeutic effects of suture anchors for the reconstruction of distal tendo achillis rupture.
Methods: The clinical data of 16 patients of distal tendo achillis rupture repaired with suture anchors from June 2005 to August 2008 were retrospectively analyzed. Among them,there were 13 males and 3 females with a mean age of 33.5 years(ranged from 17 to 46 years). The postoperative rehabilitation was conducted for every patient. The operation time,position of suture anchor and complications of the surgery were analyzed. The healing of stendo achillis and functional recovery were assessed by Arner-Lindholm standard.
Results: All the patients were followed up for an average of 13.2 months. There were no complications of foreign-body reaction or re-rupture. The average operation time was 35.5 minute. There was no intraoperative injuries of blood vessels,nerves or tendons. A total of 19 suture anchors were used,and only 1 anchor was displaced. The functional recovery of tendo achillis was rated as excellent in 13 cases,good in 2 cases,bad in 1 case. All patients were satisfied with the effects on their current work and life. And no displacement of anchors was found in radiographic films.
Conclusion: Repairing of the distal tendo achillis rupture with suture anchors can make operation simple and quick,rigid fixation,less complications,and provide good therapeutic effects. |
| KEYWORDS:Achilles tendon Suture techniques Wounds and injuries Recovery of functio |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘良乐,谢秉局,王伟良,戴鸣海,杨国敬,汤呈宣.缝线锚钉修复跟腱近止点断裂的疗效评价[J].中国骨伤,2010,23(3):177~179 |
| 英文格式: | LIU Liang-le,XIE Bing-ju,WANG Wei-liang,DAI Ming-hai,YANG Guo-jing,TANG Cheng-xuan.Therapeutic effects of suture anchors for the reconstruction of distal tendo achillis rupture[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(3):177~179 |
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