跟健龙治疗急性跟腱断裂的近期临床疗效

目的:探讨应用跟健龙吻合器治疗急性跟腱断裂的临床效果。方法:自2009年4月至2010年4月,应用跟健龙治疗19例急性跟腱断裂,男17例,女2例;年龄30～58岁,平均40.2岁;运动伤17例,摔伤2例;受伤至手术时间0～8d,平均2.2d。所有患者术前Thompson试验、单足提锺试验为阳性。术后采用患者满意度和美国足踝外科协会(AOFAS)踝与后足评分对跟腱恢复情况进行评估。结果:所有患者获随访,时间12～28个月,平均19.9个月。平均手术时间41min,所有切口Ⅰ期愈合,无感染、局部不良反应、跟腱再断裂、腓肠神经损伤等并发症发生。18例对手术结果满意,1例感觉一般(跑步时感觉轻度疼痛),至最终随访时所有患者对工作及生活满意。小腿中段周径萎缩平均(0.82±0.85)cm(0～3.0cm)。最终随访AOFAS评分平均(98.42±3.29)分(89～100分)。结论:跟健龙装置治疗急性跟腱断裂安全有效,并发症发生率低,术后可早期功能锻炼,是治疗闭合性跟腱断裂的较好方法。

Short-term clinical effects of Achillon in repair of acute Achilles tendon rupture

Objective:To study the clinical effects of Achillon for the treatment of acute Achilles tendon rupture (AATR). Methods:From April 2009 to April 2010,19 patients with AATR who were treated with Achillon were retrospectively analyzed. There were 17 males and 2 females,with an average age of 40.2 years(30 to 58 years). There were 9 cases of sports injury,and 2 case of fall injury. The time from injury to surgery ranged from 0 to 8 days(2.2 days on average). The results of Thompson test and single heel rise test were positive in 19 cases. Clinical data were assessed with the patient satisfaction and the AOFAS hindfoot score during follow-up. Results:All the patients were followed up,and the duration ranged from 12 to 28 months(19.9 months on average). The average operation time was 41 minutes. There were no wound infections,recurrent rupture,or sural nerve complications. At the latest follow-up,18 patients were totally satisfied with the surgical result,1 patient feel generally due to mild pain when running. None of the patients were dissatisfied with the final results the latest follow-up. At the latest follow-up,the AOFAS score was 98.42±3.29 (89 to 100). All the patients regained normal range of motion and were able to resume their previous activities at six months after operation,with a high rate of satisfaction. Average decreased of mid-calf circumference was (0.82±0.85) cm (ranged from 0 to 3 cm). Conclusion:Treatment with Achillon is safe,effective for AATR with low incidence of complications and early active rehabilitation can be carried out. It is a good method to treat AATR.