老年患者跟腱断裂经皮修复的良好转归。
Favorable outcome of percutaneous repair of achilles tendon ruptures in the elderly.
机构信息
Department of Trauma and Orthopaedic Surgery, University Hospital of North Staffordshire, Keele University School of Medicine, Stoke on Trent, UK.
出版信息
Clin Orthop Relat Res. 2010 Apr;468(4):1039-46. doi: 10.1007/s11999-009-0944-1. Epub 2009 Jun 19.
UNLABELLED
Percutaneous repair of Achilles tendon (AT) ruptures reportedly reduces the risk of rerupture compared to nonoperative treatment and reduces the risk of wound infection compared to open surgery. We retrospectively reviewed the postoperative Achilles tendon total rupture score (ATRS), and the maximum calf circumference in 35 patients over 65 years of age who sustained an acute tear of the AT and underwent percutaneous repair of the AT. There were 26 men and nine women with a mean age at operation of 73.4 +/- 8.7 years (range, 65-86 years). Of the 35 recruited patients, we report on 27 patients for whom we have a full data set. The minimum followup was 49 months (mean, 88 months; range, 49-110 months). The ATRS had a postoperative average rating of 69.4 +/- 14 (range, 56-93). All patients were able to bear weight fully on the affected limb by the eighth postoperative week. The data suggest that percutaneous repair of the AT is a suitable option for patients older than 65, producing similar outcomes when compared to percutaneous repair in younger patients of previous reports.
LEVEL OF EVIDENCE
Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
摘要：据报道，与非手术治疗相比，经皮修复跟腱（AT）断裂可降低再断裂的风险，与开放性手术相比可降低伤口感染的风险。我们回顾性分析了 35 例 65 岁以上急性跟腱撕裂患者的术后跟腱总断裂评分（ATRS）和 3 个月时的最大小腿围，这些患者均接受了经皮跟腱修复术。其中 26 例为男性，9 例为女性，平均手术年龄为 73.4 +/- 8.7 岁（范围 65-86 岁）。在 35 名入选的患者中，我们报告了 27 名患者的完整数据集。最短随访时间为 49 个月（平均 88 个月；范围 49-110 个月）。术后 ATRS 平均评分为 69.4 +/- 14（范围 56-93）。所有患者在术后第 8 周均可完全负重于患侧。数据表明，经皮修复 AT 对于 65 岁以上的患者是一种合适的选择，与之前报道的年轻患者的经皮修复相比，其结果相似。
证据等级：IV 级，治疗性研究。有关证据水平的完整描述，请参见作者指南。
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