摘要
目的：了解陈旧性跟腱断裂的手术方法和长期疗效。材料和方法：对平均病程为２４５天的３０例陈旧性跟腱断裂患者进行了平均５．２８年的术后随访，对３０例患者所接受的手术方法进行了归纳总结，并用Ａｒｎｅｒ－Ｌｉｎｄｈｏｌｍ疗效评定标准进行评定。结果：（１）３０例患者中，７３．３％的患者是在体育活动中发生跟腱断裂的，打篮球致伤的又占了体育活动致伤的１／３。（２）３０例中，因误诊导致陈旧性跟腱断裂的占６６．７％。（３）按Ａｒｎｅｒ－Ｌｉｎｄｈｏｌｍ疗效评定标准，术后疗效优２３例（７６．７％），良６例（２０％），差１例（３．３％），优良率达９６．７％。手术方式根据断端情况而定，原则是充分利用断处及周围组织，不用人工材料和患者其他部位的组织。术后功能康复是取得良好术后疗效的关键。（４）陈旧性跟腱断裂的断端滑囊出现率是４３．３％。结论：陈旧性跟腱断裂多在体育活动中发生，多由误诊所致。手术方式依断处情况而定，不用人工材料和患者其他部位的组织也可获得满意疗效。术后功能康复是取得良好手术疗效的关键。
urpose: To evaluate the surgical methods and long-term results of the treatment of old ruptures of Achilles tendons.Material and Methods:30 patients with their mean course of illness of 245 days were treated surgically; the mean period of follow-up was 5.28 years, and the operative methods of all patients were reviewed, and the Arner-Lindholm method was used to assess the long term results of surgical treatment.Results:(1)73.3% of the 30 cases were injured in sports activities. (2)66.7% of them were misdiagonosed.(3)By Arner-Lindholm method, 23 cases had the excellent results (76.7%), 6 cases had the good results (20%),1 case had poor result(3.3%). The ratio of excellent and good results was 96.7%.Different surgical procedures were choosen according to the conditions of the rupture. The ruptured tendon terminate and its surrounding tissues instead of artificial materials or the tissues from other parts of the body should be used to repair the tendons. (4)Bursae appeared at an rate of 43.3% in the old ruptured Achilles tendons. Conclusion:Old ruptures of Achilles tendons often happened during sports activities and misdiagnose.Good results were achieved without using artificial materials or tissues from other parts of the patients body. Functional rehabilitation should be emphasized postoperatively.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1998年第7期391-395,共5页
Chinese Journal of Orthopaedics
关键词
外科手术
跟腱断裂
陈旧性断裂
chilles tendon Surgery, operative Suture techniques Treatment outcome
