Department of Orthopaedic Surgery, Pilgrim Hospital, United Lincolnshire Hospitals NHS Trust, Boston, Lincolnshire, UK.
Foot Ankle Surg. 2011 Jun;17(2):e17-9. doi: 10.1016/j.fas.2010.08.005. Epub 2010 Sep 9.
We present a case of Achilles tendon rupture in a 54-year-old man whilst rehabilitating following end-to-end open repair of an acute Achilles tendon rupture. Re-rupture following surgical repair of Achilles tendon is well known. This case however, is atypical as the second rupture occurred significantly proximal to the first rupture. To our knowledge this is the first time this has been described in the English literature. We have termed this incident a 'second rupture'. We describe the surgical technique used by the operating surgeon during open repair of this 'second rupture', involving a gastrocnemius flap turndown. This has lead to the patient making a good recovery, despite complications. This case report serves to inform surgeons of the existence of this type of Achilles tendon rupture, whilst considering possible aetiologies and suggesting a technique for repair of the injury.
我们报告了一例 54 岁男性在急性跟腱断裂端端吻合修复后康复过程中发生跟腱断裂的病例。跟腱断裂手术后再次断裂是众所周知的。然而，这种情况并不典型，因为第二次断裂发生在第一次断裂的明显近端。据我们所知，这在英文文献中尚属首次描述。我们将这一事件称为“二次断裂”。我们描述了手术医生在开放性修复“二次断裂”时使用的手术技术，包括腓肠肌瓣翻转。尽管存在并发症，但这导致患者恢复良好。本病例报告旨在告知外科医生这种类型的跟腱断裂的存在，同时考虑可能的病因，并提出一种修复损伤的技术。
