Thompson Jonathan, Baravarian Bob
University Foot and Ankle Institute, 1101 Sepulveda Boulevard, Manhattan Beach, CA, USA.
Clin Podiatr Med Surg. 2011 Jan;28(1):117-35. doi: 10.1016/j.cpm.2010.10.002.
The Achilles tendon is the most injured tendon of athletes in the lower extremities and is the most common tendon to rupture spontaneously. Operative repair provides earlier return to sporting activities and lesser rate of rerupture. The general goal is to attempt anastomosis of the acute ruptured ends; however, delayed ruptures may require more extensive procedures. New surgical approaches, including percutaneous and mini-open techniques, are being introduced to potentially diminish perioperative complications. Advent of early protective range of motion and rehabilitation has shown a potential for earlier return to sporting activities for Achilles ruptures.
跟腱是下肢运动员中最易受伤的肌腱，也是最常自发断裂的肌腱。手术修复能使患者更早恢复体育活动，且再次断裂的几率更低。一般目标是尝试吻合急性断裂的两端；然而，延迟性断裂可能需要更广泛的手术操作。包括经皮和微创开放技术在内的新手术方法正在被引入，以潜在地减少围手术期并发症。早期保护性活动范围和康复的出现显示了跟腱断裂患者更早恢复体育活动的潜力。
