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带线锚钉联合V-Y腱成形术治疗陈旧性跟腱断裂
Hits: 1777   Download times: 985   Received:January 16, 2019    
作者Author单位UnitE-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  
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  
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  
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  
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  
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 
期刊信息:《中国骨伤》2019年32卷,第8期,第727-730页
DOI:10.3969/j.issn.1003-0034.2019.08.010


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
 
Clinical effects of suture anchor with V-Y tenoplasty in treating old Achilles tendon rupture
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.
KEYWORDS:Achilles tendon  Surgical procedures,operative  Treatment outcome
 
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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