超声辅助下经皮微创治疗急性闭合性跟腱断裂
马文明;丁亮华;何双华;黄智慧;赵镒汶;曹成;王昆
【期刊名称】《中华创伤杂志》 【年(卷),期】2017(033)005
【摘要】Objective To investigate the clinical effect of minimally invasive percutaneous repair of acute closed Achilles tendon ruptures with intraoperative ultrasound assistance.Methods A retrospective case series study was made on 24 patients with acute closed Achilles tendon ruptures hospitalized between January 2013 and June 2015.There were 19 males and five females,aged 18-50 years (mean,30.5 years).MRI showed total Achilles tendon ruptures,and time from injury to operation was 1-3 days.All patients underwent minimally invasive percutaneous repair with high-frequency ultrasound assistance.Operation time and either
intraoperative
or
postoperative
complications
were
documented.At last follow-up,American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot score and Arner Lindholm system were used to evaluate ankle functional recovery.Results Operation time was 35-60 minutes (mean,42 minutes).No intraoperative injury to the major vessel and nerve occurred.Follow-up was conducted for 10-18 months (mean,14.5
months).No
wound
surgery-related infection,skin
complications necrosis
and
were tendon
detected,including
reruptures.Ankle function was recovered to normal.AOFAS score were
超声辅助下经皮微创治疗急性闭合性跟腱断裂
