| 小切口微创技术治疗急性闭合性跟腱断裂 |
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Received:July 29, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 陈滔 |
CHEN Tao |
台州市立医院骨科中心手足外科, 浙江 台州 318000 |
Department of Hand and Foot Surgery, Orthopaedics Center of Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China |
chentaotz@163.com |
| 郑鑫 |
ZHENG Xin |
台州市立医院骨科中心手足外科, 浙江 台州 318000 |
Department of Hand and Foot Surgery, Orthopaedics Center of Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China |
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| 安洪宾 |
AN Hong-bin |
台州市立医院骨科中心手足外科, 浙江 台州 318000 |
Department of Hand and Foot Surgery, Orthopaedics Center of Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China |
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| 黄杨 |
HUANG Yang |
台州市立医院骨科中心手足外科, 浙江 台州 318000 |
Department of Hand and Foot Surgery, Orthopaedics Center of Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China |
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| 陈方虎 |
CHEN Fang-hu |
台州市立医院骨科中心手足外科, 浙江 台州 318000 |
Department of Hand and Foot Surgery, Orthopaedics Center of Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China |
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| 阮建伟 |
RUAN Jian-wei |
台州市立医院骨科中心手足外科, 浙江 台州 318000 |
Department of Hand and Foot Surgery, Orthopaedics Center of Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China |
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| 王海宝 |
WANG Hai-bao |
台州市立医院骨科中心手足外科, 浙江 台州 318000 |
Department of Hand and Foot Surgery, Orthopaedics Center of Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2015年28卷，第7期，第654-656页 |
| DOI：10.3969/j.issn.1003-0034.2015.07.016 |
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目的:探讨采用小切口行微创缝合治疗急性闭合性跟腱断裂的临床效果。
方法:2012年4月至2013年10月,对14例14足急性闭合性跟腱断裂的患者采用小切口微创技术修复跟腱,其中男9例,女5例;年龄25～49岁,平均30.5岁;受伤至手术时间1～13 d,平均8 d.在跟腱断裂处正中偏内侧行1.5～2.0 cm小切口,用卵圆钳导入缝针,微创缝合修复跟腱断裂。术后常规康复锻炼。
结果:14例中2例创口局部持续渗出,经换药好转,其余均Ⅰ期愈合。所有患者获随访,时间6～24个月,平均11个月。美国足踝外科协会(AOFAS)踝与后足评分92.71±6.58(82～100分).
结论:小切口微创修复急性闭合性跟腱断裂损伤小,并发症少,恢复快,操作简单,适合在基层医院开展。 |
| [关键词]:跟腱 创伤和损伤 外科手术 |
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| Mini-open repair for the treatment of acute closed achilles tendon ruptures |
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Abstract:
Objective: To evaluate the clinical efficacy of mini-open repair for the treatment of acute closed achilles tendon ruptures.
Methods: From April 2012 and October 2013,14 patients(14 feet) with acute closed achilles tendon ruptures were treated in our department. They were 9 males and 5 females,with an average age of 30.5 years old (ranged,25 to 49 years old). The interval between injury and operation ranged from 1 to 13 days(8 days on average). A longitudinal incision approximately 1.5 to 2.0 cm in length was made around the ruptured achilles tendon for mini-open repair after insertion of oval clamp. Postoperative rehabilitation was carried out.
Results: The wounds healed at the first stage except 2 cases with slow recovery. All the patients were followed up for 6 to 24 months,with an average of 11 months. According to the ankle-hindfoot scoring system of American Orthopaedic Foot & Ankle Society(AOFAS),the score was 92.71±6.58(82 to 100).
Conclusion: The surgical treatment of acute achilles tendon rupture with mini-open repair has advantages of little invasion,a low rate of incision problems,quick function recovery,and simple operation,and it is suitable for primary hospital. |
| KEYWORDS: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: | 陈滔,郑鑫,安洪宾,黄杨,陈方虎,阮建伟,王海宝.小切口微创技术治疗急性闭合性跟腱断裂[J].中国骨伤,2015,28(7):654~656 |
| 英文格式: | CHEN Tao,ZHENG Xin,AN Hong-bin,HUANG Yang,CHEN Fang-hu,RUAN Jian-wei,WANG Hai-bao.Mini-open repair for the treatment of acute closed achilles tendon ruptures[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(7):654~656 |
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