急性跟腱断裂后临床康复效果的研究进展与分析

BACKGROUND:Achilles tendon is an important structure of the ankle. More and more factors result in an incresing incidence of Achilles tendon rupture. OBJECTIVE: To summarizes the latest research progress in the related factors promoting tendon healing, thus providing a scientific basis for choosing an appropriate treatment strategy. METHODS:A computer-based online search was conducted in PubMed and CNKI databases using the keywords of “Achilles tendon injury, union and functional recovery” in English and Chinese, respectively. RESULTS AND CONCLUSION: Current studies addressing tendon repair, anti-adhesion of tendon and promoting tendon healing mainly focus on the improvement in the minimally invasive surgery, suture methods and the repair and replacement of tendon sheath. The conservative treatment, traditional surgery, minimally invasive surgery, the suture method, and immobilization have been the most important and direct treatments with new ideas emerging endlessly. Selection of surgical approach and suture method depends on individual physical conditions, age and individual requirements. Repair effect of fixation with short leg plaster cast at plantar flexion position is superior to long legs. Stress stimuli both promote the healing of the Achilles tendon, and reduce tendon adhesion and anchylosis. However, how to effectively promote tendon healing and tendon strength after stress still needs further research. 中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

The research progress of clinical rehabilitation after acute Achilles tendon rupture