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跟腱断裂:在手术修复和康复过程中避免肌腱延长。

Achilles tendon rupture: avoiding tendon lengthening during surgical repair and rehabilitation.

机构信息

High Performance National Sports Center (CeNARD) & Nixus Foundation, Buenos Aires, Argentina.

出版信息

Yale J Biol Med. 2011 Sep;84(3):289-300.

PMID:21966048
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3178860/
Abstract

Achilles tendon rupture is a serious injury for which the best treatment is still controversial. Its primary goal should be to restore normal length and tension, thus obtaining an optimal function. Tendon elongation correlates significantly with clinical outcome; lengthening is an important cause of morbidity and may produce permanent functional impairment. In this article, we review all factors that may influence the repair, including the type of surgical technique, suture material, and rehabilitation program, among many others.

摘要

跟腱断裂是一种严重的损伤,其最佳治疗方法仍存在争议。其主要目标应该是恢复正常的长度和张力,从而获得最佳的功能。跟腱延长与临床结果显著相关;延长是发病率的一个重要原因,可能导致永久性的功能障碍。在本文中,我们回顾了可能影响修复的所有因素,包括手术技术类型、缝线材料和康复方案等。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a93e/3178860/dcdaaf350ba7/yjbm_84_3_289_g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a93e/3178860/bfbffef55784/yjbm_84_3_289_g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a93e/3178860/dcdaaf350ba7/yjbm_84_3_289_g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a93e/3178860/bfbffef55784/yjbm_84_3_289_g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a93e/3178860/dcdaaf350ba7/yjbm_84_3_289_g02.jpg

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Augmentation of Achilles tendon repair with extracellular matrix xenograft: a biomechanical analysis.细胞外基质异种移植物增强跟腱修复:生物力学分析。
Am J Sports Med. 2011 Jul;39(7):1522-7. doi: 10.1177/0363546510397815. Epub 2011 Mar 3.
3
Tissue engineering solutions for tendon repair.组织工程学在肌腱修复中的应用。
在犬模型中对用于跟腱急性横断的双链、编织和针织聚乙烯缝线进行体外力学测试。
J Orthop Surg Res. 2025 May 30;20(1):545. doi: 10.1186/s13018-025-05947-1.
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Rehabilitation and Return to Sports after Achilles Tendon Repair.跟腱修复术后的康复与重返运动
Int J Sports Phys Ther. 2024 Sep 1;19(9):1152-1165. doi: 10.26603/001c.122643. eCollection 2024.
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Two mini transverse-incision repair yields better results than percutaneous repair for acute closed midsubstance Achilles tendon rupture: a retrospective case-control study.对于急性闭合性跟腱中段断裂,双迷你横切口修复术比经皮修复术效果更好:一项回顾性病例对照研究。
J Orthop Surg Res. 2024 Jul 31;19(1):452. doi: 10.1186/s13018-024-04904-8.
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Comparison between primary repair and augmented repair with gastrocnemius turn-down flap for acute Achilles tendon rupture: a retrospective study with minimum 2-year follow-up.原发性修复与腓肠肌翻转瓣增强修复治疗急性跟腱断裂的比较:一项至少 2 年随访的回顾性研究。
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