魏驰;余黎;邓玲珑;屈文强;祝少博;

• 1:武汉大学中南医院骨科

摘要(Abstract)：

[目的]介绍跟骨结节切除带线铆钉止点重建术治疗跟腱断裂合并跟腱末端病变的手术技术。[方法]7例跟腱断裂合并跟腱末端病变患者采用跟骨结节及变性跟腱切除、带线铆钉止点重建术。术中切除足够大的跟骨骨块,切除变性坏死跟腱,对于缺损较小者(<2 cm)直接行带线铆钉缝合固定于跟骨,缺损较大者(>2 cm)采取腓肠肌腱V-Y延长技术及自体肌腱移植来恢复跟腱长度和维持后期踝关节功能。延长跟腱,带线铆钉跟腱止点重建,术后石膏固定4周。[结果]术后1例切口出现红肿,经伤口换药、升级抗生素后愈合。7例获6个月~2年随访,采用Arner-Lindholm评分标准,临床结果评定为优6足,良1足。所有患者踝关节背伸跖屈功能正常。[结论]跟骨结节及变性跟腱切除、带线铆钉止点重建术治疗跟腱断裂合并跟腱末端病具有较好的临床疗效,术中细致操作、足够大的骨块切除、变性坏死跟腱的切除、带线铆钉止点重建等是手术成功的关键。

关键词(KeyWords)： 跟腱断裂;跟腱末端病变;带线铆钉

Abstract:

Keywords:

基金项目(Foundation): 湖北省卫生计生委面上项目(编号:WJ2017M030)

作者(Author): 魏驰;余黎;邓玲珑;屈文强;祝少博;

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DOI:

参考文献(References)：

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