自体肌腱移植修复陈旧性跟腱损伤
Repair of old Achilles tendon rupture by tendon autografts
向德剑 1王耀斌 1耿彬 2牛永康 1詹红伟 1移植 1梁晓远 1夏亚一2
作者信息
- 1. 兰州大学第二临床医学院,甘肃兰州 730030
- 2. 兰州大学第二医院骨科,甘肃兰州 730030
- 折叠
摘要
[目的]评价自体肌腱移植修复陈旧性跟腱损伤的临床疗效.[方法]回顾性分析2016年7月-2021年10月自体肌腱移植修复陈旧性跟腱损伤7例患者的临床资料,评价围手术期及随访结果.[结果]所有患者术程顺利,手术时间(106.4±13.6)min,术中出血量(35.3±12.3)ml,断端缺损(5.1±2.1)cm,住院时间平均(11.6±1.3)d.所有患者切口均Ⅰ期愈合.随访时间(46.1±19.6)个月.随着术前、术后6个月和末次随访的时间推移,VAS评分显著减少[(2.9±0.9),(1.7±0.8),(0.6±0.5),P＜0.001],AOFAS 评分[(57.4±10.0),(81.1±4.5),(95.1±4.0),P＜0.001]、踝 ROM[(27.4±3.0)°,(50.3±3.3)°,((56.6±3.5)°,P＜0.001]、ATRS 评分[(41.1±5.8),(71.6±4.4),(93.3±4.2),P＜0.001]均显著增加,三头肌肌力[例,Ⅲ/Ⅳ/Ⅴ,(7/0/0),(0/2/5),(0/0/7),P＜0.001]显著改善.[结论]对于陈旧性跟腱损伤,应用腓骨长肌腱或半腱肌移植修复仍可取得满意的临床疗效.
Abstract
[Objective]To evaluate the clinical efficacy of repair of old Achilles tendon injury with tendon autografts.[Methods]A ret-rospective study was conducted on 7 patients who had old Achilles tendon rupture repaired by tendon autografts from July 2016 to October 2021.The documents regarding to perioperative period and follow-up were evaluated.[Results]All patients had Achilles tendon repaired smoothly with operation time of(106.4±13.6)min,intraoperative blood loss of(35.3±12.3)ml,tendon defect of the broken end of(5.1±2.1)cm,and hospital stay of(11.6±1.3)days.All patients got incision healed in stage Ⅰ and followed up for(46.1±19.6)months.As time went from the point preoperatively,6 months postoperatively to the latest follow-up,the VAS score significantly reduced[(2.9±0.9),(1.7±0.8),(0.6±0.5),P＜0.001],whereas AOFAS score[(57.4±10.0),(81.1±4.5),(95.1±4.0),P＜0.001],ankle ROM[(27.4±3.0)°,(50.3±3.3)°,(56.6±3.5)°,P＜0.001],ATRS score[(41.1±5.8),(71.6±4.4),(93.3±4.2),P＜0.001]significantly increased,and triceps muscle strength[case,Ⅲ/Ⅳ/Ⅴ(7/0/0),(0/2/5),(0/0/7),P＜O.001]improved significantly.[Conclusion]For the old Achilles tendon rupture,repair with tendon autografts,such as peroneus longus or semitendinosus,can still achieve satisfactory clinical consequence.
关键词
跟腱断裂/陈旧性损伤/肌腱移植/半腱肌/腓骨长肌Key words
Achilles tendon rupture/old injury/tendon autograft/semitendinosus/peroneus longus引用本文复制引用
基金项目
国家自然科学基金(81874017)
国家自然科学基金(81960403)
国家自然科学基金(82060405)
兰州市科技计划(2021-RC-102)
甘肃省自然科学基金(22JR5RA94322JR5RA956)
兰州大学第二医院"萃英科技创新"计划(CY2021-MS-A07)
出版年
2024
NETL
NSTL
万方数据