可吸收骨锚微创无结固定治疗急性跟腱断裂
徐可;肖坤;刘备;商科;汪义奎;郑伟;刘伟;
摘要(Abstract):
[目的]评价使用卵圆钳结合可吸收骨锚微创无结固定治疗急性跟腱断裂的疗效。[方法]选取本院2017年5月~2018年11月16例急性跟腱断裂患者,采用卵圆钳引线并结合可吸收锚钉微创无结缝合方法治疗,对治疗效果进行回顾分析。[结果]所有手术顺利完成,术中无血管、神经损伤等并发症。手术时间48~60 min,平均(54.13±4.34) min,术中出血量13~18 ml,平均(15.82±2.44) ml。所有患者进行门诊及电话随访,随访时间8~16个月。所有患者均恢复正常工作及适度体育活动,AOFAS踝与后足功能评分从术前的51~67分[平均(59.12±9.76)分]恢复到术后6个月的90~100分[平均(96.25±17.64)分],差异具有统计学意义(P<0.001)。恢复正常活动时间为术后6~12周。[结论]跟腱修复采用腱-骨的固定方式固定比腱-腱固定更加牢靠,并且微创无结技术可以减少缝线结对跟腱断端的影响。卵圆钳引线结合可吸收骨锚微创无结固定方法治疗急性跟腱断裂可以取得优异的临床疗效。
关键词(KeyWords): 急性跟腱断裂;微创;无线结;可吸收骨锚
基金项目(Foundation):
作者(Author): 徐可;肖坤;刘备;商科;汪义奎;郑伟;刘伟;
Email:
DOI:
参考文献(References):
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