S形切口改良双Kessler缝合法治疗新鲜跟腱断裂  

Application of S type incision modified double Kessler suture in the treatment of fresh achilles tendon rupture

作　　者：徐培章 韩新明 陈宇华 袁志坚 

机构地区：[1]武警8750部队医院外科,云南蒙自661199

出　　处：《局解手术学杂志》2017年第1期52-54,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨应用S形切口改良双Kessler缝合法治疗新鲜跟腱断裂的临床疗效。方法 2012年1月至2015年12月我院共收治21例新鲜跟腱断裂患者,所有患者均于受伤后7 d内(平均4.1 d)采用S形切口改良双Kessler缝合法修复并进行术后随访,观察患者术后并发症发生情况,采用Arner-Lindholm评分标准评定疗效。结果 21例患者均接受术随访,随访时间6~24个月(平均12个月)。术后均无切口感染、坏死等并发症发生,无跟腱再断裂。Arner-Lindholm评分标准评定:优16例,良5例,优良率为100%。结论应用S形切口改良双Kessler缝合法治疗新鲜跟腱断裂能为断裂跟腱提供强大的应力,有利于早期功能锻炼,临床疗效满意。Objective To explore the clinical effect of the treatment for fresh achilles tendon rupture by modified double Kessler suture with S type incision. Methods Totally 21 cases of fresh achilles tendon rupture were admitted into our hospital from January 2012 to Decem- ber 2015, and they were treated by S type incision modified double Kessler suture within 7 days （averagely 4.1 days）. Observed the postop- erative complications and evaluated the efficacy with Arner-Lindholm. Results All the 21 patients were followed for 6 to 24 months （ aver- agely 12 months）. There was no incision infection,necrosis, re-fracture of achilles tendon and other complications. There were 16 cases of excellent and 5 cases of good, with the excellent and good rate of 100% through the Arner-Lindholm evaluation criteria. Conclusion Modified double Kessler suture with S incision for the treatment of fresh achilles tendon rupture is conducive to early functional exercise, and it can obtain satisfactory clinical efficacy.

关 键 词：跟腱断裂 S形切口 改良双Kessler缝合法 

分 类 号：R683[医药卫生—骨科学]