改良经皮跟腱修复术后立即负重。
Immediate weight bearing after modified percutaneous Achilles tendon repair.
出版信息
Foot Ankle Int. 2012 Dec;33(12):1093-7. doi: 10.3113/FAI.2012.1093.
BACKGROUND
Controversy exists regarding postoperative treatment of Achilles tendon repair. The purpose of this study was to evaluate the results of immediate weight bearing following modified percutaneous Achilles tendon repair using readily available materials.
METHODS
Fifty-two patients who were treated at a single center from 2000 to 2009 underwent percutaneous Achilles tendon repair by a single surgeon and were allowed immediate weight bearing. They were followed for on average of 2 years postoperatively and evaluated with functional and subjective outcomes.
RESULTS
The average American Orthopaedic Foot and Ankle Society ankle-hindfoot scale was 96 points (range, 81 to 100), with 95% confidence interval ranging from 89.1 to 102.9. Subjective evaluation demonstrated that 47 patients (90%) were able to return to a desired level of activity, with an overall complication rate of 11.5%.
CONCLUSION
Immediate weight bearing after percutaneous Achilles tendon repair had a low overall complication rate with good clinical and functional outcomes.
背景
跟腱修复术后的治疗方法存在争议。本研究旨在评估使用现有材料改良经皮跟腱修复术后即刻负重的效果。
方法
2000 年至 2009 年，一名外科医生在一家单中心治疗了 52 例患者，他们接受了改良经皮跟腱修复术，并允许即刻负重。术后平均随访 2 年，进行功能和主观评估。
结果
美国矫形足踝协会踝-后足量表的平均评分为 96 分（范围 81 至 100），置信区间为 89.1 至 102.9。主观评估显示，47 例患者（90%）能够恢复到期望的活动水平，总并发症发生率为 11.5%。
结论
经皮跟腱修复术后即刻负重的总体并发症发生率较低，临床和功能结果良好。
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