Management of Acute Achilles Tendon Rupture Using the Krackow and Tendon-Bundle Techniques

来源 :中国整形与重建外科(英文) | 被引量 : 0次 | 上传用户:YouYiDian
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Background Acute Achilles tendon rupture is a severe injury of the lower extremities; however, optimal treatment options are not yet available. This study aimed to investigate the surgical method and clinical effect of the Krackow and tendon-bundle techniques for managing acute Achilles tendon rupture. Methods This retrospective case series study analyzed 17 cases of acute Achilles tendon rupture at the Beijing Jishuitan Hospital from December 2012 to January 2020. There were 16 men and one woman, aged 27–45 years, with an average of 39.6 years. Thirteen patients were injured while playing basketball or badminton, and 4 patients were injured while participating in a football match or other sports. All injuries were repaired using the Krackow and tendon-bundle techniques. Postoperative evaluation indicators included active range of motion during ankle plantar flexion and dorsiflexion, height of single foot heel lifting, Amer-Lindholm Achilles tendon function score, and American Orthopedic Foot and Ankle Society (AOFAS) score. Results The patients were followed-up for 6–45 months (average, 18.9 months). There was no re-rupture of the Achilles tendon, wound infection, or sural nerve injury. At the final follow-up, the affected and contralateral sides exhibited plantar flexion of 42.1 ± 4.4 ° and 43.8 ± 2.8 °, dorsiflexion of 15.8 ± 2.9 ° and 16.6 ± 2.9 °, respectively, and one foot exhibited a heel lifting height of 7.2 ± 1.0 cm and 7.5 ± 0.9 cm, respectively. There was no significant difference between the affected and contralateral sides (P>0.05). At the final follow-up, the Amer-Lindholm Achilles tendon function score was excellent in 94.1% (16/17) of the patients and good in 5.9% (1/17) of the patients. The AOFAS scores ranged from 90 to 100, with an average of 96.4 ± 3.7. Conclusion Krackow and tendon-bundle techniques can improve the strength of the suture used for the Achilles tendon repair and ensure good matching for broken ends, and thus it is an effective repair method for closed Achilles tendon injury.
其他文献
互联网经济时代下,传播媒介的转变导致人们的生活生产方式发生了巨大改变,也给视觉传达设计专业人才的培养带来了新的机遇和挑战,传统授课模块与课程构成远不能满足市场对人
  In general, the mans response to infertility has been viewed as taking less of an emotionally than his partners.While the findings on quality of life (QoL)
会议
项目式教学法目的在于以学生为主体的教学实施,通过融入项目主线,设计教师起引导作用,将课堂还给学生的主动式教学方案,从而改变了教师讲,学生听,“满堂灌输”式被动教学模式
伴随着“新课改”教学思想的逐步深入,小学阶段的数学知识教学中,教师对学生的实际学习质量要求也在同步提升.在教师看来,学生当前学习质量不足,需要从多个角度进行系统性指
  目的:评价机用镍钛器械(ProTaper retreatment system,PRS)用于重度弯曲根管再治疗的效果.方法:36颗离体下颌单根管前磨牙,牙根弯曲度25°~35°,截冠后余留牙根长度15mm,机
会议
高中语文教材中的古诗词选自经典的名家名篇,是汉语教学的重要组成.古诗词中优美的语言、超然的意境、丰富的情感对促进学生人文精神培养的意义是不言而喻的.针对性实施高中