Ateschrang Atesch, Gratzer Christoph, Weise Kuno
Berufsgenossenschaftliche Unfallklinik Tübingen der Eberhard-Karls Universität Tübingen, Abteilung für Unfall- und Wiederherstellungschirurgie, Tübingen, Germany.
Arch Orthop Trauma Surg. 2008 Oct;128(10):1087-92. doi: 10.1007/s00402-007-0441-5. Epub 2007 Sep 15.
The objective of this study was to analyse the incidence and effect on clinical outcome of post-operative Achilles tendon calcifications after open-augmented repair according to the Silfverskjöld technique.
PATIENTS/METHODS: This retrospective study presents the results of follow-up examinations on 104 patients with Achilles tendon rupture who were treated according to the Silfverskjöld technique. Post-operative calcifications were identified by means of sonography, and clinical outcome was evaluated using the 100 points Thermann score. The average follow-up examination period was 3.7 years with an average patient age of 42.9 years. Two groups were identified and included those with (Group I) and those without (Group II) calcifications. Clinical outcome was evaluated using the Thermann score for both groups and was compared statistically by means of the two random sample t-test.
Fifteen patients (Group I) developed tendon calcifications (14.4%) and 89 none (Group II). Group I scored 88.0 points and Group II 88.1 (good to very good outcome). There were no negative effects on clinical outcome (t = 0.98).
The incidence of tendon calcification after open-augmented repair of Achilles tendon rupture was 14.4% with no negative effects on clinical outcome as measured by the Thermann score.
本研究的目的是根据西尔弗斯凯öld技术分析开放性增强修复术后跟腱钙化的发生率及其对临床结局的影响。
患者/方法：这项回顾性研究展示了104例采用西尔弗斯凯öld技术治疗的跟腱断裂患者的随访检查结果。通过超声检查确定术后钙化情况，并使用100分的特尔曼评分评估临床结局。平均随访检查期为3.7年，患者平均年龄为42.9岁。确定了两组，一组（I组）有钙化，另一组（II组）无钙化。使用特尔曼评分对两组的临床结局进行评估，并通过两样本t检验进行统计学比较。
15例患者（I组）出现肌腱钙化（14.4%），89例未出现（II组）。I组评分为88.0分，II组为88.1分（结局为良好至非常好）。对临床结局没有负面影响（t = 0.98）。
跟腱断裂开放性增强修复术后肌腱钙化的发生率为14.4%，根据特尔曼评分，对临床结局没有负面影响。
