带孔钢针微创Bunnell缝合治疗新鲜闭合性跟腱断裂
高迪;贾斌;张勇;高彦军;郑杰;刘彦勋;马雪峰;
摘要(Abstract):
[目的]探讨应用带孔钢针微创Bunnell缝合法治疗新鲜跟腱断裂的临床疗效。[方法]回顾性分析2007年1月~2010年12月采用带孔钢针微创Bunnell缝合法(微创组)52例及传统切开手术(切开组)31例并获得随访的新鲜跟腱断裂患者资料。观察两组手术时间、术中出血量、切口愈合时间、切口并发症、跟腱再断裂、优良率、末次随访AOFOS评分等指标。[结果]所有患者随访12~16个月,平均13.6个月。两组跟腱再断裂、优良率、末次随访AO-FOS评分组间比较无显著性意义(P>0.05)。微创组手术时间、切口愈合时间均短于单侧组(P<0.05),微创组术中出血量、切口并发症均少于单侧组(P<0.05)。[结论]应用带孔钢针微创Bunnell缝合法治疗新鲜跟腱断裂与传统手术方法效果相似,但前者具有手术时间短、创伤小、切口并发症少等优点。
关键词(KeyWords): 跟腱断裂;缝合;微创
基金项目(Foundation):
作者(Author): 高迪;贾斌;张勇;高彦军;郑杰;刘彦勋;马雪峰;
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DOI:
参考文献(References):
- [1]张丙磊,余枫,赵东升,等.小切口微创治疗新鲜跟腱断裂[J].中国矫形外科杂志,2009,20:1527-1529.
- [2]Amer O,Lindholm A.Subcutaneous rupture of the Achiles tendon:astudy of 92 cases[J].Acta Chir Scond,1959,239:1-51.
- [3]Yong JS,Kumta SM,Maffulli N.Achilles tendon rupture and tendinopa-thy:management of comlpication[J].Foot Ankle Clin N Am,2005,2:371-382.
- [4]Chiodo CP,Wilson MG.Current concepts review:acute ruptures of theachilles tendon[J].Foot Anklw Int,2006,4:305-313.
- [5]Ma GW,Grifllth TG.Percutaneous repair of acute closed ruptured achilies-tendon:a new technique[J].Clin Orthop,1977,128:247-255.
- [6]Khan RJK,Fsick D,Keogh A,et al.Treatment of acute achilles tendonruptures[J].J Bone Joint Surg Am,2005,10:2202-2210.
- [7]Assal M,Jung M,Stern R,et al.Limited open repair of achilles tendonruptures:a technique with a new instrument and findings of a prospec-tive multicenter study[J].J Bone Joint Surg Am,2002,2:161-170.
- [8]Bhattacharyya M,Gerber B.Mini-invasive surgical repair of the achillestendon-does it reduce post-operative morbidity[J].Int Orthop,2009,1:151-156.