摘要
目的：观察AO带线锚钉配合改良Bosworth法修复陈旧性跟腱断裂的临床疗效。方法：17例用改良Bosworth法修复陈旧性跟腱断裂，再用AO带线铆钉辅助固定断裂跟腱。术后患肢屈膝30°、足跖屈30°位予长腿石膏前托固定3周，后改为短腿石膏后托足背伸30°位固定3周。结果：随访3～18个月，1例出现刀口感染。采用Amer—Lindholm评分标准评价疗效，优14例，良2例，差1例。结论：AO带线锚钉配合改良Bosworth法修复陈旧性跟腱断裂手术方法简单、创伤小，疗效好，是治疗陈旧性跟腱断裂的有效方法。
Objective To evaluate the clinical efficacy of using AO suture anchors and modified Bosworth technique to repair the chronic rupture of achilles tendon.Methods： 1 lpatients with the old rupture of achilles tendon were treated by AO suture anchors and modified Bosworth technique.The tendon stumps were sutured with modified Bosworth technique fist, and then auxiliary AO suture anchors were used to repair the tendons.After operation, the lower limb were immobilized with long plaster slab （ knee flexion 30° and ankle flexion 30° ） .Another short plaster slab （ ankle flexion ） was used after 3 weeks.Results： All patients were followed up for 3 months to 18 months.None of cases happened delayed healing of wound, infection, necrosis of skin and re-rupture of achilles tendon.According to Arner-Lindholm score criteria, the results were excellent in 14 cases, good in 2, and poor in 1.Conclusions ： The using of AO suture anchor and modified Bosworth technique is a good method for repairing the old rupture of achilles tendon.
出处
《实用中医药杂志》
2014年第1期43-44,共2页
Journal of Practical Traditional Chinese Medicine
基金
山东省中医院科技发展计划重点专科项目(2013ZDZK-033)
