Cottalorda J, Kelberine F, Curvale G, Groulier P
Service de Chirurgie Orthopédique et Traumatologique, Hôpital de la Conception, Marseille.
J Chir (Paris). 1992 Oct;129(10):436-40.
The authors analyze a series of 31 tendo achillis ruptures occurring after sport accident. All were treated surgically. The actual follow up being of 4 years (1 to 12 years). In nearly one third of the cases, either a change in the training methods or intensive activity was noted. 80% of cases showed an causal violent trauma. Tendinopathy preceded the rupture in 20% of the cases, without being an important prognosis factor. In 70% of cases, diagnosis was made within the 24 following hours, and later (more than 8 days after) in one patient out of ten. Type of the surgical procedure does not seem to make any change in the long term prognosis. Each time a severe post op. complication occurred, the final result was bad. In one third of cases pre op. and post op. tendon lengths were not identical, this detail not seeming to bother the patients. In 60% of cases, same sport level was reached. In 80% of cases the final results were good or excellent.
作者分析了一系列31例运动损伤后发生的跟腱断裂病例。所有病例均接受了手术治疗。实际随访时间为4年（1至12年）。近三分之一的病例中，注意到训练方法有改变或进行了高强度活动。80%的病例显示有因果关系的暴力创伤。20%的病例在跟腱断裂前存在肌腱病，但这并非重要的预后因素。70%的病例在伤后24小时内确诊，十分之一的病例确诊较晚（伤后8天以上）。手术方式似乎对长期预后没有任何影响。每次发生严重的术后并发症，最终结果都很差。三分之一的病例术前和术后肌腱长度不一致，但这一细节似乎并未困扰患者。60%的病例恢复到了相同的运动水平。80%的病例最终结果为良好或优秀。
