Watford General Hospital, 60 Vicarage Rd, Watford WD18 OHB, United Kingdom.
Foot Ankle Surg. 2011 Dec;17(4):211-7. doi: 10.1016/j.fas.2010.11.001. Epub 2010 Dec 16.
Achilles tendon ruptures are a common injury afflicting predominantly the young male occasional sportsman. Previous studies have shown that outcome is better with surgical repair for the young active patient. There is no consensus as to whether there is a difference in outcome between open and percutaneous minimally invasive surgery (MIS). A meta-analysis was undertaken to compare the clinical outcomes of MIS with conventional open surgical repair. Six randomised controlled trials of 277 Achilles tendon repairs were eligible for review. This included 136 minimally invasive repairs and 141 conventional open repairs. On analysis, there was no significant difference between the two surgical approaches in respect to the incidence of re-rupture, tissue adhesion, sural nerve injury, deep infection and deep vein thrombosis (p>0.05). However, MIS had a significantly reduced risk of superficial wound infection, with three times greater patient satisfaction for good to excellent results compared with conventional open surgical approaches.
跟腱断裂是一种常见的损伤，主要影响年轻男性偶尔参与运动的人群。先前的研究表明，对于年轻活跃的患者，手术修复的效果更好。目前尚不确定开放手术和经皮微创（MIS）手术之间的结果是否存在差异。因此进行了一项荟萃分析，以比较 MIS 与传统开放式手术修复的临床结果。共有 6 项随机对照试验的 277 例跟腱修复符合纳入标准。其中包括 136 例微创修复和 141 例传统开放修复。分析结果显示，两种手术方法在再断裂、组织粘连、腓肠神经损伤、深部感染和深静脉血栓形成的发生率方面没有显著差异（p>0.05）。然而，MIS 发生浅表伤口感染的风险显著降低，与传统开放式手术方法相比，患者对良好至优秀结果的满意度增加了两倍。
