腓骨肌腱修复跟腱断裂24例的临床分析

目的分析腓骨长肌腱用于修复跟腱断裂的手术方法和经验。方法将腓骨长肌腱在远端处切断，经皮下隧道移位修复跟腱断裂24例。结果根据Arner-Lindholm评定标准，24例中优14例，良10例。未发生跟腱再次断裂。2例出现伤口感染，1例出现皮肤与跟腱粘连。结论对疑有跟腱断裂的患者未进行认真的体检是导致跟腱断裂误诊的重要原因。避免误诊、尽早手术及循序渐进的术后康复锻炼是提高疗效的有效措施。用腓骨长肌腱重建陈旧性和某些急性跟腱断裂是一种安全可行、疗效满意的手术方法。

Peroneal tendon repair achilles tendon rupture of 24 cases

Objective To conclude the method and experience of reconstruction of achilles tendon rupture with peroneus longus tendon transfer. Methods In 24 cases, reconstruction the achilles tendon ruptured by cutting the peroneus longus tendon at the distal end and transferred through subcutaneous tunnel. Results According to ArnerLindholm critera, 14 cases were graded as excellent, 10 cases as good. No rerupture of Achilles tendon occurred. There were 2 cases occurred wound infection and 1 conglutination. Conclusions The suspected Achilles tendon rupture in patients with a serious medical examination did not lead to an achilles tendon rupture is the major cause of misdiagnosis. Avoid misdiagnosis, as soon as possible after surgery and gradual rehabilitation exercise is to improve the efficacy of effective measures. The peroneus longus tendon transfer is a safe and satisfied way to reconstructing the old and certain fresh rupture of the Achilles tendon.