Xie Bing-Ju, Wang Wei-Liang, Yang Guo-Jing, Lin Guang-Mao, Pan Zhan-Peng, Liu Liang-Le
Department of Orthopaedics and Trauma Surgery,the Third Hospital Affiliated to Wenzhou Medical College, Wenzhou 325200, Zhejiang, China
Zhongguo Gu Shang. 2011 Dec;24(12):1016-9.
To compare the curative effects of newly suture anchors and traditional steel wire for the reconstruction of near distal tendo achillis rupture.
The clinical data of 56 patients with near distal tendo achillis rupture from June 2007 to February 2011 were retrospectively analyzed. Among 31 patients receiving reconstruction by suture anchors, 22 patients were male and 9 patients were female, with a mean age of 35.5 years (ranging from 16 to 52 years ). Among 25 patients treated with traditional steel wire, 19 patients were male and 6 patients were female, with a mean age of 37.6 years (ranging from 22 to 53 years). The different rehabilitation was conducted for every patient at different times after operation. The position of suture anchor and steel wire were recorded. The clinical data such as operative time, complications of the surgery and the function of stendo achillis were analyzed. The healing of stendo achillis and functional recovery were assessed by Arner-Lindholm standard.
All the patients were followed up with an average during of 24.2 months. There were no intraoperative injuries on blood vessels, nerve and tendon. The average operative time and postoperative complications of suture anchors were lower than there of the traditional steel wire (t = 8.75, P = 0.00; Chi2 = 5.42, P = 0.02). The functional recovery of tendo achillis repaired by suture anchors was better than that in the group of traditional steel wire (Chi2 = 7.65, P = 0.02).
Compared to the traditional steel wire, suture anchor demonstrate the superior performance on repairing rupture of the near distal tendo achillis, which is a reliable and effective treatment methods.
比较新型缝合锚钉与传统钢丝重建跟腱近止点断裂的疗效。
回顾性分析2007年6月至2011年2月收治的56例跟腱近止点断裂患者的临床资料。采用缝合锚钉重建的31例患者中，男22例，女9例，平均年龄35.5岁（16～52岁）。采用传统钢丝治疗的25例患者中，男19例，女6例，平均年龄37.6岁（22～53岁）。术后对每位患者在不同时间进行不同的康复治疗。记录缝合锚钉和钢丝的位置。分析手术时间、手术并发症及跟腱功能等临床资料。采用Arner-Lindholm标准评估跟腱愈合及功能恢复情况。
所有患者均获随访，平均随访时间24.2个月。术中无血管、神经及肌腱损伤。缝合锚钉组的平均手术时间及术后并发症低于传统钢丝组（t = 8.75，P = 0.00；χ2 = 5.42，P = 0.02）。缝合锚钉修复跟腱的功能恢复优于传统钢丝组（χ2 = 7.65，P = 0.02）。
与传统钢丝相比，缝合锚钉在修复跟腱近止点断裂方面表现更优，是一种可靠有效的治疗方法。
