ACHILLON微创治疗新鲜闭合性跟腱断裂的疗效观察  

The Curative Effect of the Acute Closed Rupture of Achilles Tendon Treated with ACHILLON Minimally Invasive

作　　者：王拴柱[1] 李培刚[1] 王春江[1] 祝成社[1] 陈利明[1] 施振强[1] 

机构地区：[1]内蒙古包头市第四医院骨四科,内蒙古包头014030

出　　处：《实用骨科杂志》2011年第6期525-529,共5页Journal of Practical Orthopaedics

摘　　要：目的通过对治疗效果和并发症的观察，介绍并评价采用ACHILLON微创治疗急性闭合性跟腱断裂的临床效果。方法2009年6月至2010年6月间治疗跟腱断裂的患者13名，微创暴露跟腱断端，清除断端的瘢痕和血凝块，梳理对合两断端，采用ACHILLON吻合跟腱。术后常规随访，随访时间5～7个月，平均6个月。应用Arner—Lindholm疗效评定标准对术后效果进行评定。结果对所有13例患者按Arner—Lindholm疗效评定标准进行评定，其中优11例，良2例。无感染发生。术后MRI显示，全部患者的跟腱得到了良好修复，跟腱断端连续性好，瘢痕小。结论采用ACHILLON微创修复急性闭合性跟腱断裂可有效保护跟腱血运，具有创伤小、术后并发症少的优点。Objective To evaluate the curative effect of operation with ACHILLON to treat the acute closed rupture of the Achilles tendon. Methods 13 cases of fresh closed heel tendon disjunction were operated from 1996 2005 ,The scar tissue and blood blocks between the ends of ruptured Achilles tendon were first debrided completely, then treated with ACHILLON mininally invasive, the duration of follow up ranged from 5 months to 7 months. The treatment out-come were evaluated by Arner-Lindholm evaluation system. Results According to the Arner-Lindholm evaluation system and the MRI of post operation,the treatment outcome were excellent in 11 ,and good in 2. No complication including nerve injury and infection were found after operation. The MRI showed the rupture Achilles tendon were repaired and remodeled very well in all cases. Conclusion The treatment of fresh closed heel tendon disjunction with ACHILLON minimally invasive is an ideal surgical technique,with good clinical result and less significant complication.

关 键 词：跟腱 腱损伤 微创 

分 类 号：R687.2[医药卫生—骨科学]