铆钉结合Krackow缝合技术在新鲜跟腱撕裂治疗中的应用

目的 探讨及评价带线铆钉在跟腱撕裂修补治疗中的优点.方法 回顾性分析2007年1月至2010年8月接受手术治疗的27例新鲜跟腱撕裂患者的临床资料.其中14例接受Krackow缝合技术修补跟腱,7例接受Lindholm缝合技术修补跟腱,6例接受铆钉结合Krackow缝合技术修补跟腱.采用Arner-Lindholm临床评价标准进行客观疗效评价.结果 27例患者获得1～36(17.35±5.70)个月随访.Krackow缝合技术修补跟腱14例中,优8例,良2例,差4例,优良率为71.4％(10/14); Lindholm缝合技术修补跟腱7例中,优5例,良1例,差1例,优良率为85.7％( 6/7)；铆钉结合Krackow缝合技术修补跟腱6例全部为优,优良率为100.0％(6/6).术后切口均一期愈合,关节活动度好,无僵硬,步态基本正常,无韧带二次断裂.结论 铆钉结合Krackow缝合技术治疗跟腱撕裂疗效显著,是一种全新的、值得推广的、疗效确切的新方法.

The application of anchor nail combined with Krackow suture technique in the treatment of flesh achilles tendon rupture

Objective To explore and evaluate the advantages of anchor nail in the treatment of achilles tendon rupture.Methods The clinical data of 27 patients with fresh achilles tendon rupture who received the treatment of thread anchor nail from January 2007 to August 2010 was retrospectively analyzed.Among them,14 patients received Krackow method,7 patients received Lindholm method to repair achilles tendon,6 patients received anchor nail combined with Krackow suture technique repair of achilles tendon.Arner-Lindholm clinical evaluation criterion was used for objective evaluation.Results Twenty-seven patients got 1-36 ( 17.35 ± 5.70) months follow-up.According to the corresponding standard in the 14 cases using Krackow method,8 cases were excellent,2 cases were good,4 cases were bad,the excellent and good rate was 71.4％( 10/14);in the 7 cases using Lindholm method,5 cases were excellent,1 case was good,1 case was bad,the excellent and good rate was 85.7 (6/7) ; all of the 6 cases using anchor nail combined with Krackow suture technique repair of achilles tendon were excellent,the excellent and good rate was 100.0％(6/6).Postoperative incisions were primarily healing,joint range of motion were all right,without rigidity,gait were almost normal,without the secondary fracture of ligament.Conclusion Anchor nail combined with Krackow suture technique in the treatment of achilles tendon rupture has significant effect,it is worth to be popularized because of its preonunced effect.