Experience Exchange peroneus longus tendon transfer for treatment of old Achilles tendon rupture.docVIP

 PAGE \* MERGEFORMAT 16 Experience Exchange peroneus longus tendon transfer for treatment of old Achilles tendon rupture [Abstract] [Objective] To investigate the use of long peroneal tendon for treatment of old Achilles tendon rupture in the surgical approach and experience. [Method] The long peroneal tendon in the distal to the cut, the subcutaneous tunnel shift repair Achilles tendon rupture. [Result] Arner Lindholm evaluation standard, excellent in 11 cases, good in 10 cases. did not occur again, the Achilles tendon rupture .2 patients had delayed wound healing, the rehabilitation training, all patients were abandoned after 10 weeks full weight bearing walking Shui. [Conclusion] Treatment of long peroneal tendon stump defect more or nodules near the calcaneal tendon rupture in the old Achilles tendon rupture is a satisfactory outcome, rehabilitation, surgical approach faster. [Keywords:] old Achilles tendon injury, peroneal tendon, reconstruction Surgical treatment of old Achilles tendon rupture There are many ways, the Court since August 1997 -2007 in January a total of 27 cases of patients with old rupture of Achilles tendon peroneus longus tendon transfer for treatment, of which 21 cases were 13 months to 6 years follow-up, treatment satisfaction, the results reported below. 1 Clinical data 1.1 General Information A total of 27 patients in this group, including 25 males and 2 females, aged 18 to 66 years old, average 43.6 years old. Right side of the 15 cases, 12 cases left. Old fracture from the injured person to seek treatment for 3 weeks to 1 years. 12 cases caused by the first doctor misdiagnosed 13 cases are not aware of the injury without rupture of Achilles tendon in time to the hospital, 2 were invalid due to conservative treatment, 3 patients had a history of Achilles tendon topical corticosteroids. See site surgery in Achilles tendon rupture arrived dead to the proximal 6 cm range, clean-up ends after Achilles tendon defect