跟腱断裂后的康复治疗

跟腱是人体最强的肌腱之一 ,近年来随着体育运动、全民健身运动的发展及各种工伤事故的增多 ,其断裂发生率亦逐渐增加。本文结合我院临床病例 ,就跟腱断裂后的康复治疗报道如下。资料与方法一、一般资料自 1985年 9月～ 2 0 0 1年 3月共收急性跟腱断裂 5 5例 ,其中资料完整者 49例 (1996年前 10例 )。 49例中 ,男 3 5例 ,女 14例 ;年龄 2 0～ 5 3岁 ,平均 3 8岁 ;左侧 2 7例 ,右侧 2 2例。运动员教练员 10例 ,武生演员 3例 ,机关干部 2 3例 ,工人 7例 ,农民 3例 ,学生 3例。致伤原因 :开放伤 8例中车祸 4例 ,锐器割伤 3例 ,砸伤 1例 ;闭合伤…     

手术治疗开放性跟腱断裂

目的探讨开放性跟腱断裂手术方法及其疗效。方法回顾性分析57例开放性跟腱断裂行手术治疗的患者资料。结果57例患者均获随访,随访期6个月至2年。新鲜组开放性跟腱断裂疗效优良率86．7％,并发症发生率6．7％;陈旧组优良率58．3％,并发症发生率116．7％。新鲜组和陈旧组开放性跟腱断裂术后临床疗效和并发症发生率差异有统计学意义（P〈0．05）。结论开放性跟腱断裂早期准确诊断及手术治疗能够有效的降低并发症,获得满意疗效。     

超短波联合高压氧治疗股骨头坏死的疗效观察

目的 观察超短波联合高压氧治疗股骨头坏死的疗效。 方法 选取符合入选和排除标准的股骨头坏死患者64例，采用随机数字表法分为治疗组和对照组，每组患者32例。2组患者均给予常规改善循环药物静脉滴注，治疗组在此基础上加用超短波和高压氧治疗。超短波和高压氧治疗均每日1次，20次为1个疗程，共治疗2个疗程。于治疗前和治疗2个疗程后(治疗后)采用髋关节Harris评分对2组患者进行疗效评定。 结果 治疗后，2组患者的Harris评分与组内治疗前比较，差异有均统计学意义(P<0.05)，且治疗组治疗后的Harris评分与对照组治疗后比较，差异亦有统计学意义(P<0.05)。治疗后，治疗组较好率达59.4%，对照组为0%，组间比较，差异有统计学意义（P<0.05）。 结论 超短波联合高压氧具有协同治疗作用，可显著改善股骨头坏死患者髋关节的疼痛情况、功能、畸形和关节活动范围。     

Achillon微创治疗新鲜闭合性跟腱断裂

2009年6月～2010年6月我科收治的闭合性跟腱断裂患者13例,男8例,女5例;年龄18～52岁,平均32.6岁;病程3～6d,平均4d;左侧5例;右侧8例;临床表现为跟腱局部空虚,失去正常跟腱外形,腓肠肌肌腹紧张,跖屈无力,单足提踵试验阳性,Thomp son’s征阳性。     

跟腱断裂修复术后康复治疗观察

目的：探讨跟腱断裂修复术后康复治疗与自然恢复对疗效的影响。方法：对８０例采用手术治疗的跟腱断裂中的６２例临床资料进行分析和平均１８年随访。结果：按尹庆水等疗效评定：康复治疗组的优良率为９１％（３３／３６）,自然恢复组的优良率为７３％（１９／２６）;康复组（３６例）术后感染２例,再断裂１例,自然恢复组（２６例）术后感染４例,再断裂５例。结论：跟腱断裂修复术后的康复治疗是提高疗效和减少并发症的有效措施     

超短波联合高压氧治疗带状疱疹后遗神经痛的疗效观察

目的:观察超短波联合高压氧治疗带状疱疹后遗神经痛的疗效。方法:选取带状疱疹后遗神经痛患者60例,采用随机数字表法分为治疗组和对照组,每组30例。2组患者均给予常规药物治疗,治疗组在此基础上加用超短波、高压氧治疗。超短波和高压氧治疗均每日1次,20次为1个疗程。治疗前、治疗1个疗程后(治疗后),采用视觉模拟评分法(VAS...     

跟腱断裂修复术后康复治疗观察

目的 :探讨跟腱断裂修复术后康复治疗与自然恢复对疗效的影响。方法 :对80例采用手术治疗的跟腱断裂中的62例临床资料进行分析和平均18年随访。结果 :按尹庆水等疗效评定 :康复治疗组的优良率为91% (33/36) ,自然恢复组的优良率为73%(19/26) ;康复组 (36例 )术后感染2例 ,再断裂1例 ,自然恢复组 (26例 )术后感染4例 ,再断裂5例。结论 :跟腱断裂修复术后的康复治疗是提高疗效和减少并发症的有效措施之一。     

跟腱断裂的手术治疗

目的：探讨跟腱断裂的损伤机制、误漏诊原因、手术疗效及并发症原因。方法：根据病情，采用不同的缝合技术对开放性断裂、急性闭合性断裂及陈旧性断裂进行修复。随访时间平均1_4年。采用Arner—Lindholm法评定疗效。结果：优10例，良5例，差2例。术后1例刀口感染，2例跟腱再断裂。结论：熟悉跟腱解剖与功能，了解受伤机制，防止漏误诊，早期诊断，急诊手术，将减少并发症发生。     

腓骨长短肌腱代跟腱治疗陈旧性跟腱断裂（附10例报告）

腓骨长短肌腱代跟腱治疗陈旧性跟腱断裂（附１０例报告）黄辉奉，章伦昌，石成来（江西省余干县人民医院骨科，余干３３５１００）跟腱是人体中最强大的肌腱，承受很大的压力。在日常生活中不易断裂。成人跟腱约１５ｃｍ左右，起始于小腿中部，止于跟骨结节后中点。在附着...     

Orthopedic pitfalls in the ED: Achilles tendon rupture

Achilles tendon rupture is a relatively uncommon occurrence in a general ED population. The history can be subtle, and physical findings may not be clear-cut. Prompt diagnosis and treatment of these injuries, however, is important to improved clinical outcome. The emergency physician needs to remain vigilant for this diagnosis to avoid this orthopedic pitfall. This review article examines the clinical presentation, diagnostic technique, and management options applicable to the emergency physician in the treatment of Achilles tendon rupture.     

Bilateral Achilles tendon rupture: a case report

Bilateral Achilles tendon rupture is a rare injury. We present a case of a 59-year-old gentleman who sustained a bilateral Achilles tendon rupture when the tendon was subjected to normal physiological load. He was treated operatively with V-Y plasty and repair of the tendon with post-operative plaster immobilisation.     

跟腱断裂患者的术后护理

分析48例跟腱断裂患者术后护理。早期彻底清创缝合,术后踝跖屈30°,石膏固定,抗炎治疗。对术后所出现血运障碍、跟腱再次断裂、术后感染等并发症,通过密切观察病情变化,采取针对性的护理措施,加强局部护理、心理护理和术后功能锻炼,使患者顺利康复,效果满意。     

跟腱断裂患者的舒适护理

目的评价跟腱断裂患者的舒适护理效果。方法2002年5月-2004年8月38例跟腱断裂患者采用舒适护理:心理、患足皮肤、体位、功能恢复的舒适护理。通过观察疗效,评价舒适护理前后效果。结果跟腱断裂患者舒适护理前后效果比较,经秩和检验,P<0.01,有显著性差异。说明舒适护理后效果优于舒适护理前。结论认为跟腱断裂患者的舒适护理,有效地帮助患者减轻痛苦,最大可能地获得舒适,减少并发症,利于功能的康复。     

Complete Achilles tendon rupture after local infiltration of corticosteroids in the treatment of deep retrocalcaneal bursitis

Complete rupture of the Achilles tendon is relatively rare, but it is an injury of considerable clinical relevance. A common cause of non-traumatic tendon rupture is local corticosteroid infiltration. Corticosteroid injections may start a degenerative process resulting in partial rupture and subsequent complete rupture of the tendon due to a direct toxic effect, because corticosteroids inhibit production of extracellular matrix collagen and also because of poor local vascularization. This paper describes the case of a patient who presented with complete rupture of the Achilles tendon shortly after administration of local corticosteroid injections in the treatment of deep retrocalcaneal bursitis. This confirms that corticosteroid treatment which is not correctly and accurately administered may be a factor contributing to major injury. It demonstrates that the physician must take all necessary precautions when administering corticosteroid infiltration. It is particularly important that corticosteroid injection is performed under ultrasound guidance which permits visualization of the needle tip and therefore exact identification of the injection site.     

肌腱瓣成形术修复闭合性跟腱断裂26例的护理体会

目的:总结肌腱瓣成形术修复闭合性跟腱断裂患者的护理体会。方法:回顾性分析26例闭合性跟腱断裂手术患者的护理资料。结果:经治疗及护理2,6例均痊愈出院。术后随访8～12个月,平均9个月,按Arner-Lindholm疗效评定标准,优17例,良8例,差1例,优良率为96.15%。结论:加强闭合性跟腱断裂术后康复护理及功能锻炼,有利于促进踝关节功能恢复,防止并发症的发生。     

Partial rupture of the Achilles tendon during a simulated fire ground task: Insights obtained from a case report for the prevention and reporting of musculoskeletal injury

Background

In this case report an incumbent firefighter partially ruptured his right Achilles tendon during a study of the physical demands of firefighting.

Methods

Kinematics and kinetics of the lower limbs and trunk were collected while the firefighter performed two simulated fire ground tasks. From this unexpected event, two insights were obtained that should be considered in all future injury prevention and reporting efforts.

Findings

(i) Consider the full anatomical linkage — the right ankle and knee kinematics leading up to the onset of injury trial were comparable to all preceding repetitions. However, there was a notable difference in the left knee starting position before the initiation of movement of the 37th hose-advance trial. (ii) Consider the cumulative load — the task in question comprised forward and backward phases. A marked difference was observed in the frontal-plane ankle moment during the return phase of the trial preceding the injury. Additionally, the magnitude of the left side vertical ground reaction force was comparable across all trials, suggesting that loads experienced by the right limb were also similar. This would indicate that the tolerance of the Achilles tendon and not the magnitude of the loading was altered.

Interpretation

The unfortunate injury captured in this work provides insight into the complexity of characterizing the pathways of injury. It is recommended that future injury prevention and reporting efforts consider individuals' physical demands (at work and in life) and document the nature of loading (i.e., frequency, duration, magnitude, type) when considering the mechanism for injury.     

中医定向透药联合功能锻炼对跟腱断裂术后患者疗效与功能恢复的影响

目的探讨中医定向透药联合功能锻炼对跟腱断裂术后患者疗效与功能恢复的影响。方法选取2016年12月至2018年12月在本院行跟腱缝合微创修补手术的新鲜闭合性跟腱断裂患者82例,将其随机等分为对照组与观察组,对照组术后行常规护理,观察组在对照组基础上行中医定向透药联合功能锻炼。比较两组患者临床疗效、足踝关节功能评分、生活质量并发症及术后并发症发生率。结果观察组患者疗效高于对照组(P<0.05);观察组AOFAS,ALS评分均高于对照组(P<0.05);并发症发生率低于对照组(P<0.05)。结论跟腱断裂术后行中医定向透药联合功能锻炼可促进踝关节功能恢复,提高临床疗效,降低术后并发症发生率。     

中医穴位贴敷联合超短波治疗慢性咽炎的临床疗效评价

目的评价中医穴位贴敷联合超短波治疗慢性咽炎的临床疗效。方法将110例慢性咽炎患者随机分为两组,治疗方法为单用中医穴位贴敷组51例,中医穴位贴敷联合超短波治疗组59例;治疗周期15天为一个疗程,两组分别治疗2个疗程,疗程结束后分别进行症状总积分和临床疗效对比分析。结果两个疗程结束后,中医穴位贴敷联合超短波治疗组症状总积分(26.45±6.08分)明显低于中医穴位贴敷组(33.33±7.77分),差异有显著性(P0.05);中医穴位贴敷联合超短波治疗组总有效率(86.44%)明显高于中医穴位贴敷组(72.09%),差异有显著性(P0.05)。结论中医穴位贴敷联合超短波治疗慢性咽炎疗效明显优于单用中医穴位贴敷,值得临床推广应用。