摘要
目的总结普通人群新鲜闭合性跟腱断裂的临床特征和手术方法。方法1998年1月～2004年1月手术治疗闭合性跟腱断裂127例,均为非体育、舞蹈工作者。根据断裂部位和断裂类型行KESSLER手术治疗,术后短腿石膏固定踝关节于跖屈位。结果119例获得随访,随访时间1.5～7.5年,平均3.1年。治疗效果优85例,良28例,差6例,优良率为95%。术后并发症包括再断裂4例,切口感染2例,跟腱粘连2例,切口愈合不良6例。结论普通人群的新鲜闭合性跟腱断裂与剧烈运动、疲劳或意外扭伤有关,需急诊手术处理,满意的疗效取决于准确的早期诊断、正确的手术操作和规范的康复训练。
Objective To summarize the clinical features and surgical efficacy of acute closed rupture of Achilles tendon in ordinary crowd. Methods From January 1998 to January 2004, 127 patients （116 males, 11 females） with closed rupture of Achilles tendon were treated surgically in our hospital. KESSLER repair was applied according to the ruptured position and the extent of tendon gap, and the patients were placed in equines position using below knee casts postoperatively. Results Of the 127 patients, 119 were followed up from 1.5 to 7.5 years （average 3.1 years）, 85 patients were rated as excellent, 28 as good and six as poor. The excellent and good rate was 95%. The major complications included re-rupture （4 cases）, wound infection （2）, tendon conglutination （2） and wound healing-delay （6）. Conclusion An acute closed rupture of Achilles tendon in ordinary crowd is associated with violent exercise, fatigue, or accidental sprain. Timely surgical repair is needed. A satisfactory effect depends on an accurate and early diagnosis, precise surgical procedure, and specific rehabilitation training.
出处
《齐鲁医学杂志》
2007年第1期55-57,59,共4页
Medical Journal of Qilu
关键词
跟腱
腱损伤
外科手术
治疗结果
Achilles tendon
tendon injuries
surgical procedures, operative
treatent outcome
