矩形框架微创无张力修复闭合性跟腱断裂

目的改进闭合性跟腱断裂的手术治疗方法，减少并发症。方法跟腱内侧小切口，显露并对合断端，使用克氏针、钢丝自制矩形框架，远离断端经皮固定，稀疏、平顺缝合断端，术后踝关节休息位制动6周后进行功能锻炼。结果获得随访的39例，采用Amer-Lindholm评定标准，优34例（占87．18％），良5例（12．82％），未发生术后再断裂、皮肤及肌腱坏死、深部感染等并发症。结论使用矩形框架，微创无张力修复闭合性跟腱断裂，辅以术后休息位制动是一种值得推荐的闭合性跟腱断裂治疗方法。

Repairing closed rupture of Achilles tendon with rectangle frame and no tension short incision

Objective To improve the operation method of rupture of Achilles tendon for decreasing complication. Methods Total 39cases with closed rupture of Achilles tendon were selected in this study. Short incision was made at achilles tendon wall, reveal and anneal the broken ends, using Kirschner wire and steel-wire to make rectangle frame ,intradermic fixation of fracture away from the broken ends, then sutured ends with rarities and smoothing,functional exercise after 6weeks ankle rest position fixation. Results According to the Arner Lindholm evaluation system,the treatment outcome were excellent in 34 cases ,and good in 5cases. No complication including re-rupture skin ,tendon necrosis and infection were found after operation. Conclusion Repaired closed rupture of Achilles tendon with short incision and rectangle frame, assisted with ankle rest position fixation after operation wasa worthy way for treating closed rupture of a chilles tendon.