带线锚钉锁边缝合桥接修复急性闭合性跟腱远端断裂的临床疗效  

Locking loop stitch with suturebridge technique in repair of acute closed distal Achilles tendon rupture by using suture anchors

作　　者：房燚 佟长贵[1] 赵卓 童致虹[1] FANG Yi;TONG Changgui;ZHAO Zhuo;TONG Zhihong(Depatment of Hand and Foot Microsurgery,The Second Affiliated Hospital of Dalian Medical University,Dalian116000,Liaoning,China)

机构地区：[1]大连医科大学附属第二医院手足显微外科,辽宁大连116000

出　　处：《中国骨伤》2023年第8期773-776,共4页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨带线锚钉微创治疗急性闭合性跟腱远端断裂的临床疗效。方法:自2019年7月至2021年3月,采用微创带线锚钉锁边缝合桥接修复技术治疗20例急性闭合性跟腱远端断裂患者,其中男18例,女2例;年龄19~52(40.0±9.0)岁。观察其并发症情况,并于术前和术后1年采用美国足踝外科协会踝与后足功能评分系统(American Orthopaedic Foot&Ankle Society,AOFAS)评价踝关节功能恢复情况。结果:所有患者获得随访,时间6~18(12.0±3.2)个月。所有患者切口Ⅰ期愈合,无感染及皮肤坏死发生,未出现腓肠神经损伤及下肢深静脉血栓形成,无足跟疼痛和跟腱再断裂发生,踝关节屈伸活动良好。AOFAS评分由术前的(59.0±4.3)分提高至术后1年的(95.1±2.6)分。结论:带线锚钉锁边缝合桥接修复急性闭合性跟腱远端断裂疗效确切,可降低跟腱再断裂、神经损伤、皮肤坏死等并发症,具有手术创伤小、吻合方法可靠、功能恢复好等优点,是治疗急性闭合性跟腱远端断裂的理想方法。Objective To explore clinical efficacy of Locking loop stitch with suturebridge technique in repair of acute closed distal Achilles tendon rupture by using suture anchors.Methods From July 2019 to March 2021,20 patients with acute closed distal Achilles tendon rupture were treated by minimally invasive suture anchor locking suture bridging repair technique.Among them,including 18 males and 2 females,aged from 19 to 52 years old with an average of(40.0±9.0)years old.Complications were observed,and recovery of ankle function was evaluated by American Orthopaedic Foot&Ankle Society(AOFAS)ankle and hindfoot function scoring system before operation and 1 year after operation.Results All patients followed up from 6 to 18 months with an average of(12.0±3.2)months.The incisions were healed at stageⅠwithout infection and skin necrosis occurred;no gastrocnemius nerve injury and deep vein thrombosis of the lower extremities occurred;and no heel pain and Achilles tendon rerupture occurred.AOFAS scores of ankle and hindfoot increased from(59.0±4.3)before opertaion to(95.1±2.6)at 1 year after operation(t=-32.1,P<0.05).Conclusion The effect of locking suture bridging with suture anchor nails to repair acute distal Achilles tendon rupture is definite,and it could reduce incidence of complications such as Achilles tendon rerupture,nerve injury,and skin necrosis,which has advantages of small surgical trauma,reliable anastomosis method and good functional recovery,and is an ideal method for treating acute closed distal Achilles tendon rupture.

关 键 词：跟腱断裂 微创技术 带线锚钉 

分 类 号：R686[医药卫生—骨科学]