Sponsor
  • ·
  • Chinese Association of
    Integrative Medicine;
    China Academy of Chinese
    Medicine Sciences
Editing
  • ·
  • Editorial Board of
    China Journal of
    Orthopaedics and Traumatology
Publishing
  • ·
  • Publishing House,
    China Journal of
    Orthopaedics and Traumatology
Overseas Distributor
  • ·
  • China International Book
    Trading Corporation
    P.O.Box 399,Beijing,China
    Code No.M587
Mail-order
  • ·
  • Publishing House,
    China Journal of
    Orthopaedics and Traumatology
    No.16A, Nanxiaojie, Dongzhimennei,
    Beijing 100700,China
    Tel:0086-10-84020925
    Fax:0086-10-84036581
    Http://www.zggszz.com
    E-mail:zggszz@sina.com
腓肠肌腱膜瓣翻转联合阔筋膜移植治疗跟腱再断裂
Hits: 1733   Download times: 1035   Received:November 06, 2018    
作者Author单位UnitE-Mail
冒海军 MAO Hai-jun 南京大学医学院附属南京鼓楼医院骨科, 江苏 南京 210008 Department of Orthopaedics, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu, China  
许光跃 XU Guang-yue 南京大学医学院附属南京鼓楼医院骨科, 江苏 南京 210008 Department of Orthopaedics, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu, China 15366066188@163.com 
期刊信息:《中国骨伤》2019年32卷,第8期,第717-720页
DOI:10.3969/j.issn.1003-0034.2019.08.008


目的:探讨腓肠肌腱膜瓣翻转联合阔筋膜移植修复跟腱再断裂的临床疗效。

方法:自2013年7月至2017年4月,对11例跟腱术后再断裂患者采用腓肠肌腱膜瓣翻转联合阔筋膜移植重建治疗,男10例,女1例;年龄25~48岁。所有患者术前患足跖屈力量减弱、单足提踵试验阳性。观察术后并发症,并于术后6个月采用美国足踝外科学会踝-后足功能评分(AOFAS)进行功能评价。

结果:本组11例患者获得随访,时间6~11个月。所有患者手术切口均Ⅰ期愈合,无皮肤坏死、切口感染、深静脉血栓、再断裂等并发症。跟腱缺损长度4~7 cm。患者完全恢复负重时间8~11周。术后6个月AOFAS评分79~100分,其中优9例,良2例。

结论:腓肠肌腱膜翻转联合阔筋膜移植修复跟腱再断裂,具有跟腱修复可靠,并发症少,跟腱功能恢复良好的优点,是一种有效的临床治疗方法。
[关键词]:肌,骨骼  阔筋膜  跟腱
 
Turning over rough surface of aponeurosis of gastrocnemius with fascia lata graft for Achilles tendon rerupture
Abstract:

Objective:To explore clinical effects of turning over rough surface of aponeurosis of gastrocnemius with fascia graft for Achilles tendon rerupture.

Methods:From July 2013 to April 2017,11 patients with Achilles tendon reruptures were repaired by turning over rough surface of aponeurosis of gastrocnemius with fascia graft,including 10 males and 1 female aged from 25 to 48 years old. The patients were all manifested weakness of plantar flexion strength injured foot,and positive of single heel rise test before operation. Postoperative complications was observed,and AOFAS score at 6 months after operation was applied to evaluate clinical efficacy.

Results:All patients were followed up for 6 to 11 months. All wound were healed at stageⅠwithout skin necrosis,wound infection,deep vein thrombosis and rerupture. The length of tendon defect ranged from 4 to 7 cm,the full weight-bearing time ranged from 8 to 11 weeks. Postoperative AOFAS score at 6 months was for 79 to 100,and 9 patients got excellent results,and 2 good.

Conclusion:For patients with recurrent ruptures of Achilles tendon,turning over rough surface of aponeurosis of gastrocnemius with fascia graft has advantages of stable repair,less complications and good recovery of function.
KEYWORDS:Muscle,skeletal  Fascia lata  Achilles tendon
 
引用本文,请按以下格式著录参考文献:
中文格式:冒海军,许光跃.腓肠肌腱膜瓣翻转联合阔筋膜移植治疗跟腱再断裂[J].中国骨伤,2019,32(8):717~720
英文格式:MAO Hai-jun,XU Guang-yue.Turning over rough surface of aponeurosis of gastrocnemius with fascia lata graft for Achilles tendon rerupture[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(8):717~720
View Full Text  View/Add Comment  Download reader
Close




版权所有:Editorial Office of China Journal of Orthopaedics and Traumatology京ICP备12048066号  版权声明
地址:No.16A, Nanxiaojie, Dongzhimennei, Beijing 100700, China
电话:0086-10-84036581 传真:0086-10-84036581 Email:zggszz@sina.com