Old treatment of 21 cases of Achilles tendon rupture.docVIP

 PAGE \* MERGEFORMAT 14 Old treatment of 21 cases of Achilles tendon rupture Of: Tian Wenping Wang Yulin Fan Jianjun Xiao Youqiang Zhao Yanjun Dong Le [Abstract] Objective: To evaluate the triceps tendon inverted VY plasty extending the efficacy of treatment of old Achilles tendon rupture and experience. Methods: From July 2002 to December 2006, of the 21 treated patients with old rupture of Achilles tendon The patients with triceps tendon extending down VY plasty repair treatment and were followed up. Results: All cases were confirmed by 1 to 3 years (average 18 months of follow-up, according to Arner-lindholm evaluation criteria to determine, excellent in 6 cases, good in 12 cases and poor in 3 1 case because of wound infection, delayed healing and dressing a half months after the emergence of local wound healing, influence function, 1 case due to individual factors of the patients with poor prognosis non-functional exercise, and 1 in 4 patients half second operation due to accidental rupture again. excellent and good rate was 85.7%. Conclusion: The triceps tendon inverted VY plasty surgical extension of simple, effective, reliable treatment of old Achilles tendon rupture is one of the better. surgery After careful and strict management and functional training are also important prognostic factors. [Keywords:] triceps tendon, inverted VY plasty extended, old Achilles tendon rupture, treatment Achilles tendon rupture is more common sports injury, after breaking if they can not receive timely diagnosis and effective treatment, the conversion of old Achilles tendon rupture, mostly due to misdiagnosis or delay in the patient’s own, Maffulli [1] reported rate of misdiagnosis 20% to 30%, relatively difficult treatment of old Achilles tendon rupture, surgical repair, but the effect after treatment compared with that of fresh Achilles tendon rupture, efficacy is often poor. from July 2002 to December 2006 were treated in our hospital 21 cases of patients