跟腱断裂（Achilles tendon rupture）.docVIP

跟腱断裂（Achilles tendon rupture） Self healing. During this period, you need to walk with a rigid hand. The affected limb can not be loaded, nor can the calf muscle contract. Then use a brace for 4 weeks to ensure full healing. Surgical treatment generally refers to suture the Achilles tendon on both sides of the broken ends, the suture will be broken Achilles tendon fixed, so that it reached full and firm contact, after the plaster for 4-6 weeks, so that the Achilles tendon broken end to fully heal. Conservative treatment and surgical treatment have their respective advantages and disadvantages. The advantage of conservative treatment is that it can avoid surgery. But during the immobilization of the plaster, complete prohibition of calf muscle contraction is very difficult to achieve. Patients in the crutches, walk, or even stand up, will inadvertently contraction of muscle, resulting in Achilles tendon end of healing is not sufficient, thereby affecting the efficacy. The rate of Achilles tendon nonunion and rupture in the conservative treatment is very high, which can be as high as 12.6%, while the Achilles tendon rupture rate of surgical treatment is only about 2%. And once the Achilles tendon does not heal or re tear, it will be treated as an old laceration, the treatment will be far less than the acute tear, surgical complications will increase exponentially. The advantage of surgical treatment is that the curative effect is exact. After the operation, it can resume normal walking and proper exercise. But because of the poor blood supply of the Achilles tendon, the chances of postoperative nonunion, delayed union and local infection can be as high as 7.5%. Even some patients can cause Achilles tendon infection and necrosis. Two, although the surgical treatment of surgical treatment of surgical complications may exist, but if the quality of life of patients can not accept claudication after considering the high probability of conservative treatment of Achilles tend