微创跟腱吻合器（Achillon）治疗急性闭合性跟腱断裂

目的探讨应用Achillon微创跟腱吻合器治疗急性闭合性跟腱断裂的临床疗效。方法采用微创跟腱吻合器（Achillon）治疗17例急性闭合性跟腱断裂并获得随访,随访时间平均11个月,观察术后功能恢复及并发症情况,并按Arner-Lindholm评分标准进行术后疗效评定。结果按Arner-Lindholm评分标准,本组优15例（占89%）,良2例（占11%）,所有病例术后均未出现切口感染及再次断裂等并发症。结论对急性闭合性跟腱断裂采用2cm的微创切口应用Achillon微创跟腱吻合器治疗,具有创伤小,局部血液循环影响小,术后并发症少等优点,同时辅以术后短期、规范的石膏外固定及循序渐进的康复训练可以取得优良的治疗效果。

Treatment of acute closed achilles tendon rupture with mini-invasive Achillon device

Objective To analyze the clinical effect of mini-invasive Achillon device in treatment of acute closed achilles tendon rupture.Methods Totally 17 cases of acute closed achilles tendon rupture were treated by Achillon device.The average follow up time was 11 months.The postoperative function and complication were observed,and the Arner-Lindholm Score Criteria was used to evaluate its postoperative effect.Results According to the Arner-Lindholm Score Criteria,there was excellent in 15 cases,good in 2 cases.And there was no infection or re-breakage.Conclusion Achillon device with 2 cm incision for treatment of acute closed achilles tendon rupture has advantages of minimal trauma,few effect on the local blood circulation,and few complication.Moreover,if assisted with short-term postoperative gypsum external fixation and rehabilitation,more satisfactory effect can be achieved.