应用同种异体肌腱加强修复治疗陈旧性跟腱断裂 |
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引用本文: | 张志才,段德宇,邵增务,杨述华. 应用同种异体肌腱加强修复治疗陈旧性跟腱断裂[J]. 实用骨科杂志, 2013, 0(10): 891-893 |
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作者姓名: | 张志才 段德宇 邵增务 杨述华 |
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作者单位: | 华中科技大学同济医学院附属协和医院骨科,湖南武汉430022 |
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摘 要: | 目的探讨同种异体肌腱加强修复治疗陈旧性跟腱断裂的临床疗效。方法2005年1月至2011年12月,对26例陈旧性跟腱断裂患者,采用同种异体肌腱在跟腱断裂两侧的正常跟腱组织冠状面钻孔环扎,加强修复断裂的跟腱。结果26例均获随访9~52个月,平均30.7个月,除1例术后伤口延迟愈合外,其余伤口均I期愈合,无全身或局部不良反应,无跟腱黏连再手术者,无跟腱再断裂发生。采用Arner—Lindholm疗效评定方法,优22例(84.6%),良4例(15.4%)。结论同种异体肌腱加强修复治疗陈旧性跟腱断裂疗效满意,并发症少,手术操作简单,是一种可行的手术方法。
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关 键 词: | 跟腱断裂 异体肌腱 移植 |
Treatment of Old Achilles Tendon Rupture with Allogeneic Tendon |
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Affiliation: | ZHANG Zhi-cai, DUAN De-yu, SHAO Zeng-wu,et al ( Department of Orthopedics, Union Hospital,Tongji Medical College, Huangzhong University of Seinence and Technology, Wuhan 430022, China) |
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Abstract: | Objective To investigate the therapeutic effects of allogeneic tendon in treatment of old Achilles tendon rup- ture. Methods From January 2005 to December 2011,26 cases of chronic Achilles tendon rupture were treated by use of allo- geneic tendon to repair Achilles tendon. The allogeneic tendon was sutured in a ring beside the Achilles tendon rupture place in the coronal plane. Results All the cases were followed up 9 - 52 months with an average of 30.7 months. The operative inci- sions were healed in I stage, expert one incision of delayed healing. There were no untoward reaction, no Achilles tendon adher- ence, and no Achilles tendon rupture again. According to the Arner-Lindholm standard, 22 cases gained the excellent (84. 6% ) and 4 cases of good ( 15.4% ). Conclusion Allogeneic tendon graft is effective, with less complication and easy in re- pair of old Achilles tendon. |
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Keywords: | achilles tendon rupture allogeneic tendon transplantation |
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