陈旧性跟腱断裂的治疗及康复(附29例分析)  

Treatment and Rehabilitation of old Ruptured Achilles Tendon

作　　者：李梅君[1] 付清涛 

机构地区：[1]北京医科大学运动医学研究所

出　　处：《中国康复》1990年第2期76-78,共3页Chinese Journal of Rehabilitation

摘　　要：我所1981～1988年共收治陈旧性跟腱断裂29例,其中开放伤1例,闭合伤28例,男26例、女3例.以篮球和跑步运动伤最多.大都在40～51岁之间.康复治疗分三期:第一期:术后局部用棉花夹板及石膏托固定,作全身保健操及进行股四头肌肌力与足趾活动练习;第二期:固定已去除。主要进行踝关节伸屈练习及腿肌肉力量练习;第三期:目的是加强全面身体素质训练,使踝关节功能恢复至正常。若伤侧肌力与健侧相等,就可恢复各项运动,此时间约为术后8～9个月。29 cases with old ruptured Achilles tendon, male 26 and female 3, were treated from 1981 to 1988. Among them are 1 case open rupture and 28 subcutaneous rupture. Most of them aged 40-51 were Basketball player and runner, Posetoperative treatments were given in the following three stages: First stage: The leg was immobilized in a pressing Cotton-plastic splint, while gene ral physical exercise and contraction of quadriceps and movement of toes were carriecl out to improve local circulation and to prevent muscular atrophy. Second stage: Fixation removed. The main task during this stage was to restore the ankle joint motion and to st- rengthen leg muscles. Third stage: the purpose of this stage is to reach the original physical fitness and normal local function. In most cases the ability of doing their sport activities and trainings were regained within the 8th-9th month after operation.

关 键 词：跟腱断裂 康复 

分 类 号：R686.109[医药卫生—骨科学]