本文選題：陳舊性跟腱斷裂 + 跟腱過長�。� 參考：《解放軍醫(yī)學(xué)雜志》2017年07期

【摘要】：目的比較通道輔助微創(chuàng)跟腱縮短術(shù)與切開跟腱縮短術(shù)治療陳舊性跟腱斷裂愈合后跟腱過長的療效。方法回顧分析2013年12月-2015年12月符合入選標(biāo)準(zhǔn)的19例患者的臨床資料,其中8例采用通道輔助微創(chuàng)跟腱縮短術(shù),11例采用切開Krackow跟腱縮短術(shù)。兩組患者性別、年齡、受傷至手術(shù)時(shí)間、術(shù)前小腿周徑、術(shù)前美國矯形足踝協(xié)會(huì)(AOFAS)評(píng)分等一般資料差異無統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。比較兩組的手術(shù)時(shí)間、手術(shù)切口長度、術(shù)后住院時(shí)間,術(shù)后跟腱恢復(fù)情況,小腿周徑和AOFAS評(píng)分。結(jié)果微創(chuàng)組手術(shù)時(shí)間、手術(shù)切口長度及術(shù)后住院時(shí)間均顯著少于切開組(P0.05)。術(shù)后8周隨訪時(shí)MRI顯示兩組患者跟腱均恢復(fù)連續(xù)性。兩組末次隨訪時(shí)小腿周徑和AOFAS評(píng)分均高于術(shù)前,差異有統(tǒng)計(jì)學(xué)意義(P0.05),但兩組間比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論通道輔助微創(chuàng)縮短術(shù)治療陳舊性跟腱斷裂愈合后跟腱過長的療效與切開跟腱縮短術(shù)相似,且具有手術(shù)時(shí)間短、切口小、住院時(shí)間短、可避免腓腸神經(jīng)損傷等優(yōu)點(diǎn)。
[Abstract]:Objective to compare the therapeutic effects of channel assisted minimally invasive Achilles tendon shortening and incision of Achilles tendon shortening in the treatment of achilles tendon length after the healing of old rupture of Achilles tendon. Methods the clinical data of 19 patients who met the inclusion criteria from December 2013 to December 2015 were retrospectively analyzed. Among them, 8 cases were treated with channel assisted minimally invasive Achilles tendon shortening and 11 cases were treated with Krackow tendon shortening. There were no significant differences between the two groups in gender, age, time from injury to operation, preoperative circumference of calf, preoperative AOFAS-score of the American Orthopaedic ankle Association (AMA) and so on. There was no significant difference between the two groups (P 0.05), and there was no significant difference between the two groups (P 0.05). The operative time, incision length, postoperative hospitalization time, postoperative Achilles tendon recovery, leg circumference and AOFAS score were compared between the two groups. Results the operation time, incision length and postoperative hospital stay in the minimally invasive group were significantly less than that in the incision group (P 0.05). MRI showed continuity of Achilles tendon in both groups at 8 weeks follow-up. At the last follow-up, the leg circumference and AOFAS score in the two groups were higher than those before operation, the difference was statistically significant (P 0.05), but there was no significant difference between the two groups (P 0.05). Conclusion the curative effect of channel assisted minimally invasive shortening is similar to that of incision and shortening of Achilles tendon after the old rupture of Achilles tendon is healed, and it has the advantages of short operation time, small incision, short hospital stay and can avoid the injury of sural nerve.
【作者單位】： 解放軍總醫(yī)院骨科;
【基金】：首都臨床特色應(yīng)用研究資助項(xiàng)目(Z161100000516192)~~
【分類號(hào)】：R687.2

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