Tatu R F, Olariu S, Vermeşan D
Clinica I-a Ortopedie-Traumatologie Timişoara.
Chirurgia (Bucur). 2006 Jul-Aug;101(4):407-10.
The Achilles tendon rupture represents a acute, invalidating pathology with a increasing trend. It affects the young active adult and the treatment indications have not developed a standard yet. The treatment can be conservative (cast immobilization) or operative. The aim of the study is the widespread of the authors experience with the percutaneous suture of the fresh Achilles tendon rupture, a accessible and effective treatment method of a lesion which is of a larger interest then just of the orthopedic surgeon. This minimal invasive technique combines the benefits of the conservative treatment--low complication incidence--with those of the surgical treatment were the union rate is higher. The suture material makes no difference. The use of 1,5 mm PDS cord or normal, braided 0 nylon has offered the same good end result. The costs are lowered by the short operative time and hospitalization period and the patients returned to the anterior activity at 6-8 weeks after injury. At the same time the cosmetic result is very good. This technique could be set as a standard for the treatment of the fresh Achilles tendon rupture.
跟腱断裂是一种急性致残性疾病，且呈上升趋势。它影响年轻活跃的成年人，目前治疗指征尚未形成标准。治疗方法可以是保守治疗（石膏固定）或手术治疗。本研究的目的是推广作者采用经皮缝合新鲜跟腱断裂的经验，这是一种对骨科医生来说很有意义的、可行且有效的治疗方法。这种微创技术结合了保守治疗的优点——并发症发生率低——以及手术治疗的优点——愈合率更高。缝合材料并无差异。使用1.5毫米的聚对二氧环己酮缝线或普通编织0号尼龙缝线都能取得同样良好的最终效果。手术时间短和住院时间短降低了成本，患者在受伤后6至8周即可恢复之前的活动。同时，美容效果也非常好。这种技术可作为新鲜跟腱断裂治疗的标准方法。
