The Sheffield Foot & Ankle Unit, Sheffield University, Sheffield, UK.
Foot Ankle Surg. 2011 Sep;17(3):186-92. doi: 10.1016/j.fas.2010.06.003. Epub 2010 Jul 6.
The Achillon jig permits the placement of sutures deep to the fascia cruris and the paratenon through the substance of the ruptured tendon, permitting a safe minimally invasive repair. Our experience has suggested that these two layers may not be as clearly delineated as first thought or may merge at an, as yet, undefined level.
We performed an anatomical and radiological (US and MRI) study of the layers of tissue superficial to the Achilles tendon in cadaveric specimens.
The mean distance for the confluence of the fascia cruris and paratenon from the postero-superior calcaneal tubercle (PSCT) was found to be 37.3mm (range 17-58mm). Ultrasound examination was found to be less distinct than MRI scanning.
We recommend careful identification of the fascia cruris and paratenon and insertion of the central branches of the jig adjacent to the tendon substance when using this method for repair.
阿基利恩夹具允许通过断裂肌腱的实质将缝线置于筋膜和腱旁组织深处，从而实现安全的微创修复。我们的经验表明，这两层可能不像最初想象的那样清晰划分，或者可能在一个尚未定义的水平上融合。
我们对尸体标本中跟腱表面的组织层进行了解剖学和影像学（超声和 MRI）研究。
发现筋膜和腱旁组织与后上跟骨结节（PSCT）融合的平均距离为 37.3mm（范围为 17-58mm）。超声检查不如 MRI 扫描明显。
我们建议在使用这种方法进行修复时，仔细识别筋膜和腱旁组织，并将夹具的中央分支插入肌腱实质附近。
