应用自制简易装置微创治疗跟腱断裂疗效分析

目的 评估应用自制简易装置微创治疗跟腱断裂的疗效.方法 对2016年1月至2018年6月期间收治的急性跟腱断裂患者共11例进行回顾性分析.利用自制的工具小切口修补跟腱断端,统计手术时间,切口长度,出血量,术后切口感染率、皮肤坏死率、术后腓肠神经损伤率、再断裂率,住院时间,记录术后6、12、18个月的AOFAS评分.结果...

Minimally invasive surgical treatments for Achilles tendon rupture with self-designed instrument

[Abtract]Objective To evaluate the clinical efficacy of mini-open repair for the treatment of acute closed Achilles tendon rupture with self-designed instrument.Methods From January 2016 to June 2018,11 patients with acute Achilles tendon rupture were treated with self-designed instrument.Surgery time,incision length,amount of bleeding,postoperative infection,sural nerve injury,rerupture,hospital stay,and American Orthopaedics Foot and Ankle Society(AOFAS)score at 6,12,18 months after surgery were recorded.Results One case lost follow-up.The surgery time was(28.4±3.2)min,incision length was(2.0±0.2)cm,amount of bleeding was(5.0±1.2)mL,none of postoperative infection,sural nerve injury and rerupture,hospital stay was 5(4,6)d,and AOFAS scores were 90.2(88.7,92.3),91.6(90.2,93.8),93.6(92.0,95.3)at 6,12,18 months after surgery.Conclusion Mini-open repair for the treatment of acute closed Achilles tendon ruptures with self-designed instrument is recommended,because it leads to time-saving,shorter incision length,lower incidence of nerve injury and better functional recovery.