Hosey G, Kowalchick E, Tesoro D, Balazsy J, Klocek J, Pederson B, Wertheimer S J
Department of Podiatric Surgery, St. John Hospital Macomb Center, Mt. Clemens, Michigan 48045.
J Foot Surg. 1991 May-Jun;30(3):214-33.
Over the years, there have been numberous reports on the treatment of tendo Achillis ruptures. Most of these dissertations have dealt with the treatment of acute ruptures versus the more technically challenging, neglected, ancient rupture. This paper will focus on the neglected rupture, with specific attention directed towards a new technique of surgical repair, using Marlex mesh. Through the exhaustive testing of the tendo Achillis of New Zealand white rabbits at intervals of 1, 3, and 6 months postimplantation, and subsequent implantation in a 13-month follow-up in an adult, it has been demonstrated that this biosynthetic tendon complex very closely approximates the physical properties of the normal tendo Achillis. Furthermore, through the use of histologic examination, it has been shown that this material actually forms a frame or bridgework for ingrowth of normal, orderly, collagen bundles, closely resembling those found in the original tendinous structure.
多年来，已有大量关于跟腱断裂治疗的报道。这些论文大多涉及急性断裂的治疗与技术上更具挑战性的陈旧性、被忽视的断裂的治疗。本文将聚焦于被忽视的断裂，特别关注一种使用Marlex网片的手术修复新技术。通过在新西兰白兔跟腱植入后1个月、3个月和6个月间隔进行详尽测试，并随后在一名成年人中进行13个月的随访植入，已证明这种生物合成肌腱复合体非常接近正常跟腱的物理特性。此外，通过组织学检查表明，这种材料实际上形成了一个框架或桥梁结构，供正常、有序的胶原束向内生长，与原始肌腱结构中的胶原束非常相似。
