微创吻合器小切口跟腱吻合修复急性跟腱断裂★

背景：切开手术治疗急性跟腱断裂对跟腱的血运和腱周组织造成较大的破坏，容易发生跟腱粘连，延缓跟腱愈合。 目的：观察跟腱微创吻合器吻合修复急性跟腱断裂的效果。 方法：对2008-02/2009-08采用跟腱微创吻合器治疗的急性跟腱断裂并获得随访的22例患者，进行早期功能操练，并按照美国骨科协会足踝外科分会的标准评价踝关节功能，评价跟腱微创吻合器的治疗效果。 结果与结论：22例均获得随访，随访期为7~14个月(平均11.4个月)，所有患者伤口愈合良好，未发生跟腱再断裂，无腓肠神经支配区的感觉缺失，吻合后3个月AOFAS标准评分为95分，吻合后6个月为98分。说明跟腱微创吻合器能微创治疗急性跟腱断裂并获得良好效果。

Mini-invasive surgical anastomat for repair of acute achilles tendon ruptures

BACKGROUND: Open surgery for the treatment of acute achilles tendon ruptures results in great destroy to blood supply and paratenon, which easily lead to tendon adhesion and delay tendon healing. OBJECTIVE: To evaluate the results of mini-invasive surgical repair of the achilles tendon ruptures with special anastomat. METHODS: From February 2008 to August 2009, 22 patients using mini-invasive treatment of acute achilles tendon ruptures with Achillon and performed early functional exercises were followed up. The ankle joint function was evaluated according to the American Orthopaedic Foot and Ankle Surgery Society Chapter (AOFAS) standards, and the therapeutic efficacy was assessed. RESULTS AND CONCLUSION: All 22 cases were followed up for a period of 7 to 14 months (mean 11.4 months). All patients healed well without one case of achilles tendon rupture again, no area of sural nerve sensory loss. AOFAS standard score was 95 points (84 to 100, maximum 100) after 3 months, which was 98 points after 6 months. With Achillon the achilles tendon ruptures can be treated in mini-invasive manner and get good results.