Krackow suture treatment of fresh Achilles tendon tear type.docVIP

 PAGE \* MERGEFORMAT 8 Krackow suture treatment of fresh Achilles tendon tear type [Abstract] Objective To summarize the type of fresh Achilles tendon tear and efficacy of the treatment. Methods of 19 cases of fresh closed Achilles tendon tear type of method used Krackow suture repair treatment and countermeasures. Results were excellent in 14 cases of postoperative effects cases, good in 5 cases, 1 case of Achilles tendon and skin adhesion. follow-up period, no Achilles tendon re-rupture and complications such as deep infection. Conclusion Fresh tear type of surgical treatment of Achilles tendon rupture repair using a Krackow suture relatively safe and effective method. [Keywords:] Achilles tendon, tear type, Krackow suture Achilles tendon rupture is a common sports injury, according to the pathological changes seen in patients can be divided into transverse, avulsion type and tear type. In our hospital from January 2003 to June 2007 87 patients admitted to the Achilles tendon fracture patients, of which type of fresh closed Achilles tendon tear, 19 cases were repaired by Krackow suture method, treatment satisfaction, are as follows. 1 Clinical data 19 cases of this group of patients, 18 males and 1 female, aged 22 to 48 years, an average of 33 years of age. Are sudden changes in movement actions, including take-off, drop and run the trip and other damage. Are blunt trauma, 13 cases the defect can reach obvious fracture, 4 cases and 2 cases of B-MRI examination assisted the diagnosis. operative time was wounded 4 h ~ 7 d. 2 treatment 2.1 surgical methods in the continuous epidural anesthesia or epidural anesthesia, the patient in the prone position, all operating under the tourniquet. Taken for Achilles tendon 1 cm medial edge of the medial longitudinal incision about 10 cm, sharp cut to the Achilles tendon envelope, no peeling layers. retractor exposed Achilles tendon rupture side, see Achilles tendon rupture are tail-like tear in the Ach