[1]刘骏逸,段卫峰,杜志军.改良经皮缝合法治疗急性跟腱断裂[J].中医正骨,2017,29(10):76-77,80.
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改良经皮缝合法治疗急性跟腱断裂()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期数:
2017年10期
页码:
76-77,80
栏目:
临床报道
出版日期:
2017-10-20

文章信息/Info

作者:
刘骏逸段卫峰杜志军
河南省洛阳正骨医院/河南省骨科医院,河南 郑州 450016
关键词:
跟腱 腱损伤 缝合技术
摘要:
目的:观察改良经皮缝合法治疗急性跟腱断裂的临床疗效及安全性。方法:2015年10月至2016年6月,采用改良经皮缝合法治疗急性跟腱断裂患者14例,男12例、女2例。年龄19~58岁,中位数39岁。均为闭合性损伤,左足4例、右足10例。受伤至手术时间3~11 d,中位数5 d。术后3个月,观察跟腱愈合情况,并测定患侧踝关节背伸及跖屈活动度。术后6个月,采用美国Biodex System-3型等速肌力测试仪测定30(°)·s-1时患足跖屈峰力矩。随访了解患者回归工作时间及并发症发生情况。结果:所有患者均获随访,随访时间6~22个月,中位数8.5个月。术后3个月,MRI检查显示跟腱均愈合; 踝关节背伸活动度为5°~30°,中位数15°; 踝关节跖屈活动度为30°~50°,中位数43°。术后6个月,患足30(°)·s-1跖屈峰力矩为64~200 Nm,中位数132 Nm。患者回归工作的时间为2~6个月,中位数3.5个月。所有患者均未出现切口感染、腓肠神经损伤、跟腱黏连或再断裂等并发症。结论:改良经皮缝合法治疗急性跟腱断裂,可以促进跟腱愈合、踝关节活动度及足部跖屈肌力恢复,且安全性较高,有助于患者早期回归工作,值得临床推广应用。

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更新日期/Last Update: 2018-03-10