目的探讨采刖Achilhm行做创缝合治疗急性跟腱断裂的临床疗效。方法2010年12月至2011年5月收治7例7足急性跟腱断裂患者,男5例,女2例;年龄21-53岁,平均34.2岁。均为闭合性损伤,受伤至于术时间为1-11d,平均3.8d。手术切口在跟腱断裂处内侧行2.0-3.5cn,长切口,以Achillon插入行微创手术缝合跟腱断端。术后康复锻炼,结果所有患者伤口均扶I期愈合,所有患者获5-11个月(平均7.2个月)随访。术后3个月时患者均正常下地负承,无再发跟腱断裂,美吲足踝外科协会(AOFAS)踝与后足评分93.2分,患处疼痫的视觉模拟评分为1.2分.结论埘急性跟腱断裂采用Achillon行微创手术缝合具有损伤小,并发症少,恢复快等优点,是跟腱修复方法的较好选择。
Objective To evaluate the clinical efficacy of Achillon,a novel guide for Achilles tendon suture produced by Newdeal Ltd in France,in the mini-invasive surgical treatment of acute Achilles tendon rupture. Methods Between December 2010 and March 2011,7 patients (7 feet) with acute Achilles tendon rupture were treated in our department.They were 5 males (5 feet) and 2 females (2 feet),with an average age of 34.2 years (range,21 to 53 years).The interval between injury and operation ranged from 1 to 11 days(3.8 days on average).A longitudinal incision approximately 2.0-3.5 cm in length was made around the ruptured Achilles tendon for minimally invasive repair after insertion of the Achillon.Postoperative rehabilitation was carried out. Results All the wounds healed at the first stage.All patients were followed up for 5 to 11 months, with an average of 7.2 months. All patients regained normal weight-bearing walking 3 months after operation without any re-rupture. According to the ankle-hindfoot scoring system of American Orthopaedic Foot and Ankle Society (AOFAS),they scored 93.2 points.By the visual analogue scale (VAS),they scored 1.2 points at the operation site. Conclusion The surgical treatment of acute Achilles tendon rupture with Achillon has advantages of mini-invasion,a low rate of incision problems and quick function recovery.