陈旧性跟腱断裂手术治疗的现状与挑战  

The current status and challenges of surgical treatment for chronic Achilles tendon rupture

作　　者：冯仕明 Feng Shiming(Department of Sports Medicine,Xuzhou Central Hospital,Xuzhou Clinical College of Xuzhou Medical University,Xuzhou 221009,China)

机构地区：[1]徐州医科大学徐州临床学院,徐州市中心医院运动医学科,徐州221009

出　　处：《中华外科杂志》2024年第6期520-524,共5页Chinese Journal of Surgery

基　　金：江苏省卫健委科研项目(H2023023);徐州市医学重点人才项目(XWRCHT20220047)。

摘　　要：随着对运动锻炼需求的增多,越来越多的陈旧性跟腱断裂患者接受外科手术治疗。手术方式包括直接吻合术、肌腱瓣技术、肌腱转位术和游离肌腱移植术等,在手术方式选择及手术适应证把握方面,需重点考虑跟腱缺损长度,同时兼顾患者年龄、外观要求、功能需求、局部组织条件等方面。随着医疗器械的更新和手术技术的改进,手术的适应证也在不断变化,基于现有文献证据,为每种手术技术制定合理的修复跟腱缺损长度范围,更加符合临床需求。此外,生物治疗技术、新型仿生材料等方面的辅助技术在实验室或动物模型中被证实存在积极作用,未来如何促进相关临床成果转化是辅助技术的发展重点。With the growing demand for physical activity,an increasing number of individuals with chronic Achilles tendon ruptures are opting for surgical intervention.Surgical approaches encompass end-to end anastomosis,tendon flap techniques,tendon transfer procedures,and free tendon grafting,among others.When selecting the appropriate surgical method and determining the surgical indications,it is imperative to consider factors like the length of the Achilles tendon defect,patient age,aesthetic preferences,functional requirements,and local tissue conditions.As medical devices evolve and surgical techniques advance,the criteria for surgical intervention are also evolving.Drawing from existing literature evidence,it becomes crucial to define reasonable parameters for addressing Achilles tendon defects with each surgical technique,aligning more closely with clinical needs.Additionally,auxiliary technologies such as biologic therapy and innovative biomaterials have demonstrated promising results in laboratory or animal models.The focal point of advancing these auxiliary technologies lies in facilitating the translation of pertinent clinical outcomes in the future.

关 键 词：跟腱 外科手术 跟腱断裂 陈旧 肌腱转位术 肌腱瓣技术 关节镜技术 

分 类 号：R687.2[医药卫生—骨科学]