Department of Orthopaedics Surgery, S. Maria della Scaletta Hospital, Imola (Bo), Italy.
Foot Ankle Surg. 2009;15(4):169-73. doi: 10.1016/j.fas.2008.12.003. Epub 2009 Feb 8.
Neglected rupture of Achilles tendon is an infrequent but debilitating injury. Several surgical methods of treatment have been described to repair neglected Achilles tendon rupture.
In our study we reviewed 20 patients (18 male and 2 female). We describe a new surgical technique using percutaneous repair of the neglected Achilles tendon ruptures. It consists of 10 micro-incisions, five lateral and five medial to the posterior aspect of the Achilles tendon, the suture is performed using an absorbable number 1 Vicryl (Ethicon, Edinburgh UK) inserted percutaneously in a figure of eight fashion.
The advantages of this procedure are a short time immobilization, an early weight bearing and a return to complete ankle range of motion. The mean AOFAS score was 99.0, no re-ruptures or sural nerve damage were observed. In all the treated patients the results obtained were rated from good to excellent.
We would like to encourage this technique as being fast, inexpensive and very satisfactory both to the patient and to the surgeon.
被忽视的跟腱断裂是一种不常见但却使人虚弱的损伤。已经描述了几种手术治疗方法来修复被忽视的跟腱断裂。
在我们的研究中，我们回顾了 20 名患者（18 名男性和 2 名女性）。我们描述了一种使用经皮修复被忽视的跟腱断裂的新手术技术。它包括 10 个微切口，5 个位于跟腱后外侧，5 个位于跟腱后内侧，缝线使用可吸收的 1 号薇乔（Ethicon，英国爱丁堡）以 8 字形方式经皮插入。
该手术的优点是固定时间短、早期负重和完全恢复踝关节活动范围。平均 AOFAS 评分为 99.0，无再断裂或腓肠神经损伤。在所有接受治疗的患者中，结果均评为良好至优秀。
我们鼓励使用这种技术，因为它快速、经济，并且对患者和外科医生都非常满意。
