Mathiak G, Wening J V, Mathiak M, Neville L F, Jungbluth K
Department of Trauma and Reconstructive Surgery, University of Hamburg, Germany.
Arch Orthop Trauma Surg. 1999;119(5-6):280-4. doi: 10.1007/s004020050410.
Forty-one patients were analyzed after surgical treatment of Achilles tendon ruptures. The following parameters served as the outcome measure: (1) duration of wearing cast, (2) length of hospital stay, (3) outpatient treatment, (4) time of absence from work, (5) complications, (6) re-rupture rate, (7) subjective evaluation by patients, (8) scar condition, (9) ability to stand on tiptoes, (10) Thompson test, (11) movement of talocrural joint, (12) circumference data of lower extremity, (13) radiographs, (14) power measurement of the ankle (in kg), (15) ultrasound examination, (16) blood cholesterol levels, (17) scoring by Trillat's score. Surgical treatment achieved an excellent or good outcome in 91% of patients as evidenced by the Trillat score. Furthermore, cholesterol levels were found to be elevated in 83% of patients. Given the good results, surgical treatment of Achilles tendon ruptures is recommended, but patients of status post-Achilles tendon rupture should be checked for high cholesterol levels. In the future, controlled, prospective trials need to prove a correlation between Achilles tendon rupture and a pathological blood lipid status.
对41例跟腱断裂手术治疗后的患者进行了分析。以下参数作为结果指标：（1）石膏固定时间；（2）住院时间；（3）门诊治疗情况；（4）缺勤时间；（5）并发症；（6）再断裂率；（7）患者主观评价；（8）瘢痕情况；（9）踮脚尖能力；（10）Thompson试验；（11）距小腿关节活动度；（12）下肢周径数据；（13）X线片；（14）踝关节力量测量（以千克为单位）；（15）超声检查；（16）血液胆固醇水平；（17）Trillat评分。根据Trillat评分，手术治疗在91%的患者中取得了优异或良好的效果。此外，83%的患者胆固醇水平升高。鉴于良好的结果，推荐对跟腱断裂进行手术治疗，但跟腱断裂术后患者应检查胆固醇水平是否升高。未来，需要进行对照的前瞻性试验来证明跟腱断裂与病理性血脂状态之间的相关性。
