陈旧性跟腱断裂严重瘢痕化的手术治疗.pdfVIP

.354. 中国骨伤2015 年4 月第 28 卷第4 期 China J Orthop Trauma ,Apr.2015 ,Vo1.28 ,No.4 ·经验来流· 陈旧性跟臆断裂严重癫痕化的手术治疗 孙传秀，何盛为，方旭，米立东，杜广字，孙雪刚 (大连医科大学附属第二医院，辽宁 大连 11603 1) [摘要] 目的:探讨自体半旋肌及股薄肌肌展移植加锚钉修补陈旧性严重痕痕化~JIj在断裂的临床疗效。方法:臼 2010 年 4 月至 2012 年 10 月，采用自体半旋肌及股薄肌肌旋移植加锚钉修补陈旧性严重痕痕化跟旋断裂 Myersonill 型 患者 26 例，其中男 19 例，女 7 例;年龄 22-47 岁，平均 32 岁;手术时间为伤后 3-12 个月，平均 7 个月。所有患者术前 患足;u;屈力量减弱、单足提踵试验阳性。术后给予石膏外固定，进行常规康复治疗。术后观察其并发症，并采用 Amer­ lindholm 法进行疗效评价。结果:所有患者获得随访，时间 12-24 个月，平均 16 个月。随访期内无跟旋再断裂、切口 感染等并发症发生。根据Amer-lindholm 疗效评定标准，优 15 例，良 11 例。结论:自体半旋肌及股薄肌肌旋移植加锚 钉修补陈旧性严重痕痕化jLl展断裂是一种有效的方法。 [关键词] 跟旋; 创伤和损伤; 瘾痕: 半旋肌: 股薄肌: 移植 DOI: 10.3969/j.i ssn.l∞3-0034.2015.04.014 S町gicaI treatment for chronic achilles tendon rupture and severe 民arring SUN Chuan-xiu ,HE Sheng-wei ,FANG Xu , MI Li也ng， DU Guang-yu ,and SUN Xue-伊ng. The Second A.庐山ed Hospita1 0/Da1ian Medic a1 University ,Da1ian 116031 , Liooning , China ABSTRACT Objective: To evaluate the clinical efficacy of autologous semitendinosus and gracilis tendon grafting with an- chor repair for the treatment of chronic achilIes tendon rupture and severe scarring. Methods:From April 2010 to October 2012 ,26 patients with chronic achilles tendon rupture(with Myerson type ill) and severe scarring were treated with autologous semitendinosus and gracilis tendon grafting wi由 anchor repair. 币lere were 19 males and 7 females ,with an average age of 32 years old (ranged ,22 to 47 years). The time from injury to surgeηwas from 3ω12 months (7 months on average).τne plan- tar flexion strength of all injuried feet attenuated and single heel rise test were positive in 26 cases before operation. Plaster im- mobilization and routine rehabilitation therapy were performed after operation. Clinical effects were evaluated by Amer-lind- holm criterion and complications were observed after oper