Achillon微创跟腱吻合器治疗开放性跟腱断裂23例疗效观察

目的探讨应用Achillon微创跟腱吻合器治疗新鲜开放性跟腱断裂的临床效果。方法采用Achillon跟腱缝合器治疗23例急性开放性跟腱断裂患者并随访。在急诊清创后,采用原创口显露跟腱断端、清理残端后,置入Achillon吻合器夹持跟腱近侧断端,引入缝线;同法在跟腱断裂远端置入缝线,拉出缝线打结,术后石膏托外固定6周。结果 23例获得随访,时间8～14个月,平均10个月,按Arner-Lindholm疗效评定标准,优21例（91.3%）,良2例（8.7%）,无伤口感染、跟腱愈合不良、腓肠神经损伤、复发跟腱断裂或缝线排异。结论开放性跟腱断裂在急诊清创后,采用原创口清理显露跟腱断端,用Achillon微创缝合的方法治疗,具有对合可靠、创伤小、对跟腱局部血供影响小、功能恢复快的优点。

Treatment of open achilles tendon ruptures by Achillon minimally invasive achilles tendon suture system in 23 cases

Objective To evaluate the clinical effect of Achillon minimal invasive achilles tendon suture system on repairing of acute open achilles tendon ruptures.Methods Twenty three patients with acute open achilles tendon ruptures were treated by Achillon minimal invasive achilles tendon suture system and the follow-up was conducted.This minimal invasive treatment was performed after the debridement.In all cases Achilles tendons were successfully explored through the original wounds.Achillon minimal invasive achilles tendon suture system was put in to hold the rupture end of achilles tendon.Then suture threads were introduced to both proximal and distal ends.The ankle was casted with gypsum for six weeks after the surgery.Results Twenty three cases were successfully followed up for 8 to 14 months（10 months in average）.Accoring to Arner-Lindholm score,the clinical effect was excellent in 21 cases（91.3%）,good in 2 cases（8.7%）.No case of infection,Achilles tendon mal-union,sural nerve damage,recurrent achillies tendon ruptures or suture rejection was found.Conclusion Repairing acute open Achilles tendon ruptures by Achillon minimal invasive achilles tendon suture system is reliable,minimal invasive,with fast recovery of the ankle function.