经通道辅助缝合系统微创修复急性闭合跟腱断裂的疗效观察.pdfVIP

2015 1 29 1 35 100853 channel-assisted minimally invasive repairCAMIR 2011 1 2012 6 30 30 18 12 22 50 30.4 10 20 B 2 8 cm4.4 cm3 h 9 d4 dCAMIR Bunnel 10 25 min17.0 min1.5 2.5 cm2.0 cm 12 24 16 MRI 1 cm20 30°20 30°Arner Lindholm 28 2 100% CAMIR REPAIR OF ACUTE CLOSED ACHILLES TENDON RUPTURES BY CHANNEL- ASSISTED MINIMALLY INVASIVE REPAIR SYSTEM CHEN Hua, HAO Ming, ZHANG Wei, GAO Yuan, LIANG Xiangdang, ZHANG Qun, GUO Yizhu, ZHANG Lihai, TANG Peifu. Department of Orthopaedics, Chinese PLA General Hospital, Beijing, 100358, P.R.China. Corresponding author: TANG Peifu, E-mail: tangpf301@163.com Abstract Objective To evaluate the effectiveness of channel-assisted minimally invasive repair (CAMIR) for acute closed Achilles tendon ruptures. Methods Between January 2011 and June 2012, 30 patients (30 sides)with acute closed Achilles tendon ruptures were treated with CAMIR technique. Among 30 patients, 18 were male and 12 were female with an average age of 30.4 years (range, 22-50 years); the locations were left side in 10 cases and right side in 20 cases. All the causes were sports injury. B-ultrasound was used to confirm the diagnosis, with the average distance from the rupture site to the Achilles tendon insertion of 4.4 cm (range, 2-8 cm). The time from injury to operation was 3 hours to 9 days (median, 4 days). All injuries were repaired by CAMIR technique. Results The average operation time was 17.0 minutes (range, 10-25 minutes), and the mean incision length was 2.0 cm (range, 1.5-2.5 cm). All the incisions healed by first intention. There was no complication of wound problem, deep vein thrombosis, re-rupture, or sural nerve injury. All case