腓骨短肌转位联合肌腱瓣翻转和Bosworth法修复治疗陈旧性跟腱断裂  

Comparison of proneus brevis transposition and tendon flap reversion with Bosworth suture for old calcaneal tendon rupture

作　　者：韩文冬[1] 张强[1] 

机构地区：[1]枣庄市台儿庄区人民医院骨科,山东枣庄277400

出　　处：《临床骨科杂志》2007年第1期41-42,共2页Journal of Clinical Orthopaedics

摘　　要：目的探讨陈旧性跟腱断裂的手术方式。方法对62例陈旧性跟腱断裂患者按早期、后期分别采用腓骨短肌转位联合肌腱瓣翻转和Bosworth法修复治疗，比较两种方法治疗效果。结果62例均获随访，时间8个月～6年，腓骨短肌转位联合肌腱瓣翻转组优良率为90．63％，Bosworth法修复组优良率为73．33％，两组差异有显著性（P〈0．01）。结论采用腓骨短肌转位联合肌腱瓣翻转修复治疗陈旧性跟腱断裂，术后并发症少，能显著提高疗效。Objective To study the surgical treatment of old calcaneal tendon rupture. Methods 62 cases of old calcaneal tendon rUptures were enrolled. 32 cases were undergone surgical repair by proneus brevis transposition and tendon flap reversion, while 30 were sutured with Bosworth method. The outcomes were compared. Results 62 cases were followed up for 8 -72 months. The excellent and good rate was 90. 63% in the former, while it was 73.33% in the latter, which was significant different（P 〈0. 01 ）. Conclusions It has advantages of lesser complications and better function recovery in the treatment of old calcaneal tendon rupture with proneus surgical repair by brevis transposition and tendon flap reversion.

关 键 词：腓骨短肌转位 肌腱瓣翻转 腱损伤/外科学 

分 类 号：R686[医药卫生—骨科学]