文档介绍：跟腱牵引治疗陈旧性跟腱断裂
跟腱牵引治疗陈旧性跟腱断裂
作者:黄炯锋,谢冠豪,黎应森,黄炳生,张杰英,廖文益,廖乐粤,陈立安【摘要】目的介绍跟腱牵引治疗陈旧性跟腱断裂的方法。方法对13 例陈旧性跟腱断裂患者首先进行跟腱牵引,待跟腱延长下行后再行跟腱断端直接吻合。结果经过6个月~2年的随访,按Arnerdindholm疗效评定标准,其中优9 例,良4 例。结论本方法具有操作简单,创伤少,术后肌力及功能恢复良好,但存在牵引早期局部疼痛较剧,须加强镇静止痛治疗。【关键词】跟腱断裂陈旧性牵引治疗 Achilles Tendon Traction in treatment of Old Tendon Disinsertion Abstract:Objective To introduce the method of Achilles Tendon Traction in treatment of old tendon Achilles tendon traction was first adopted to 13 patients with old tendon anastomotic operation was later given to the downward extended tendon and the broken After six months‘ to two years‘ followup visit,curative results of 9 cases were excellent and 4 cases were good according to Arnerdindholm assessment The method is simple with little and its function restored satisfactorily after ,strong topalgia occurs at early stage of treament of seldation and odynolysis is needed.
Key words:tendon disinsertion;old;traction;treatment 跟腱断裂是一种常见创伤,但由于有约20%~%不等误诊率[1],故陈旧性跟腱断裂也较为常见,因踝关节功能受影响,故常需手术治疗。手术方法较多,但都存在切口长、吻合口增粗、或蹬力缺失等缺点。自2000年~2006年我院收治陈旧性跟腱断裂13 例,采用先进行跟腱牵引,再行跟腱断端直接吻合的手术方法,疗效满意,现报告如下。 1 临床资料一般资料本组13 例,男10 例,女3 例,年龄21~46岁,受伤原因:开放性损伤4 例,闭合性损伤9