套索锁扣结立体缝合法修复急性撕裂型跟腱断裂.pdfVIP

2011 1 25 1 中国修复重建外科杂志 年 月第 卷第 期 47 · · 套索锁扣结立体缝合法修复急性撕裂型跟腱断裂 李春江 冯晓娜 李文宏 【摘  要】    目的  总结自行设计的套索锁扣结立体缝合法修复急性撕裂型跟腱断裂的临床应用及体会。  方 法  2006 年1 月－2010 年6 月，收治41 例运动损伤致急性撕裂型跟腱断裂患者。男33 例，女8 例；年龄18 ～56 岁，平 均41 岁。均为单侧闭合性损伤；左足27 例，右足 14 例。其中33 例可触及明显断裂缺损区，7 例行B 超检查辅助明确诊 断，1 例行MRI 检查确诊。损伤至手术时间为36 h ～7 d 。患者均采用套索锁扣结立体缝合法修复。  结果  术后切口 均Ⅰ期愈合。31 例获随访，随访时间1 年～3 年10 个月，平均17 个月。术后1 年随访，患者肌力5 级，行走正常，提踵有力。 患侧与健侧小腿周径差均 3 cm，踝关节背伸20 ～30°，跖屈40 ～50° 。随访期间无跟腱再断裂及深部感染等并发症发生。 末次随访时按Arner-Lindholm 疗效评定标准，获优21 例，良 10 例，优良率为 100%。  结论  采用套索锁扣结立体缝合 法修复急性撕裂型跟腱断裂具有把持力强、抗张强度大、对跟腱血运影响小等优点，是一种安全、有效的方法。 【关键词】 急性撕裂型跟腱断裂 套索锁扣结 立体缝合法 REPAIR OF ACUTE AVULSION-TYPE ACHILLES TENDON RUPTURE BY LOCKING-LOOP STEREOSCOPIC SUTURE/LI Chunjiang, FENG Xiaona, LI Wenhong. Department of Emergency, Tangshan No.2 Hospital, Orthopedic Hospital Affiliated to North China Coal Medical College, Tangshan Hebei, 063000, P.R.China. Corresponding author: FENG Xiaona, E-mail: jcl592545612@163.com 【Abstract 】    Objective To summarize the cl inical appl ication and experience of repairing acute avulsion-type achilles tendon rupture by locking-loop stereoscopic suture. Methods Between January 2006 and June 2010, 41 cases of acute avulsion-type achilles tendon rupture were treated by locking-loop stereoscopic suture. Among 41 patients, 33 were male and 8 were female with an average age of 41 years (range, 18-56 years); the locations were left side in 27 cases and right side in 14 cases. There was palpable defect in 33 cases, 7 cases underwent B-ultrasound, and 1 case underwent MRI to confirm the diagnosis. The time from injury to