腱束编织缝合结合Bunnell法治疗闭合性跟腱断裂

发布时间：2018-07-26 18:59

【摘要】：[目的]观察腱束编织缝合结合Bunnell法治疗急性闭合性跟腱断裂的临床疗效。[方法]2013年5月~2016年3月,采用腱束分组编织缝合法结合Bunnell缝合法治疗急性跟腱断裂24例,术后观察皮肤切口并发症及功能恢复情况。[结果]所有患者均获得12~36个月随访,平均(27.88±6.52)个月。1例患者出现局限皮肤浅层坏死,经换药后痊愈,其余患者均Ⅰ期愈合。1例术后4周因意外伤致跟腱不全撕裂,经保守治疗后痊愈,其余患者均未出现跟腱再断裂。所有患者均未出现医源性神经损伤、下肢深静脉血栓等并发症。术后返回工作岗位的时间为9~15周,平均(11.83±2.16)周。术后1年美国足踝外科协会(American Orthopedic Foot and Ankle Society,AOFAS)踝-后足功能评分86~100分,平均(94.42±3.75)分。[结论]采用腱束编织缝合结合Bunnell法治疗闭合性跟腱断裂操作相对简单,修复效果可靠,切口并发症少,适用于有运动需求的中青年人。
[Abstract]:[objective] to observe the clinical effect of tendon bundle suture combined with Bunnell in the treatment of acute closed rupture of Achilles tendon. [methods] from May 2013 to March 2016, 24 patients with acute rupture of Achilles tendon were treated by grouping suture of tendon bundle combined with Bunnell suture. Postoperative complications of skin incision and recovery of function were observed. [results] all the patients were followed up for 12 to 36 months, with an average of (27.88 卤6.52) months. 1 patients developed localized superficial skin necrosis and recovered after dressing change. After conservative treatment, the remaining patients did not rerupture the Achilles tendon. No iatrogenic nerve injury or deep venous thrombosis was found in all patients. The time of returning to work after operation was 9 ~ 15 weeks with an average of (11.83 卤2.16) weeks. The ankle-hind foot function score of the American Association of foot and ankle surgery (American Orthopedic Foot and Ankle Society AOFAS) was 86 ~ 100 points (mean 94.42 卤3.75) one year after operation. [conclusion] the treatment of closed Achilles tendon rupture with tendon bundle knitting and suture combined with Bunnell is relatively simple, the repair effect is reliable, the incision complications are few, and it is suitable for the young and middle-aged people with sports needs.
【作者单位】：山东中医药大学;济南市第三人民医院急诊科;山东中医药大学附属医院;山东省千佛山医院骨创伤外二科;
【分类号】：R687.2

【相似文献】