比目鱼肌肌腱瓣移位重建跟腱术  

Reconstruction of Achilles tendon by transfer of the soleus tendon flap

作　　者：刘新成[1] 赵天云[1] 

机构地区：[1]甘肃省天水市第一人民医院骨科,741000

出　　处：《中华创伤骨科杂志》2004年第4期475-477,共3页Chinese Journal of Orthopaedic Trauma

摘　　要：目的介绍比目鱼肌肌腱瓣移位重建跟腱术的方法及临床效果。方法在对参与跟腱组成的小腿浅层各肌肉的解剖特点进行仔细观察的基础上,设计了比目鱼肌肌腱瓣移位重建跟腱的术式,临床应用于12例伴有缺损的跟腱损伤患者的治疗,并进行了平均39个月的随访。结果根据Arner-Lindholm疗效评定标准,优9例,良2例,差1例,优良率达92%。结论比目鱼肌肌腱瓣移位重建跟腱术,具有损伤小、对跟腱血供的影响小、术后愈合好的优点。Objective To introduce a new surgical method of reconstructing A ch illes tendon by transfer of the soleus tendon flap. Methods The method was desig ned on the basis of the anatomical characteristics of the superficial muscles as sociated with Achilles tendon. It was applied to treat 12 patients with Achilles tendon defects. These patients were followed up for 0.5 to 6 years (average 39 months). Results The curative effect of the method were assessed according to Ar ner-Lindholms evaluation criteria. 9 cases were rated as excellent, 2 fine an d 1 poor, with the total excellent and fine rate being 92%. Conclusions ①Misdi agnosis and improper initial treatment are the major causes of Achilles tendon d efects. ②Systematic training after operation is very important for good curativ e effects. ③The method mentioned above brings about less trauma, less negative effects on blood supply to Achilles tendon, and good healing after operation.

关 键 词：比目鱼肌 肌腱瓣移位 功能重建 跟腱损伤 解剖结构 

分 类 号：R687.3[医药卫生—骨科学]