一项解剖学和尸体研究，检查使用 Achillon 装置经皮跟腱修复术时腓肠神经损伤的风险。
An anatomical and cadaveric study examining the risk of sural nerve injury in percutaneous Achilles tendon repair using the Achillon device.
机构信息
St. George's Hospital, London, United Kingdom.
East Kent University Hospitals, East Kent, United Kingdom.
出版信息
Foot Ankle Surg. 2014 Jun;20(2):90-3. doi: 10.1016/j.fas.2013.11.005. Epub 2013 Dec 6.
BACKGROUND
Percutaneous Achilles tendon repairs are gaining in popularity. This study aims to quantify the risk of sural nerve injury when using the Achillon device.
METHODS
The Achillon device was instrumented into 15 cadaveric specimens and through dissection the rate of sural nerve puncture and the position of the sural nerve in relation to the Achilles tendon was documented.
RESULTS
The sural nerve was found lateral to the Achilles tendon insertion point over a range of 14.3mm and crossed the lateral border of the Achilles tendon over a range of 57.7mm. The sural nerve was punctured a total of 6 times and in 4 out of 15 cadaveric specimens (27%). Four out of the 6 punctures occurred when the Achillon device was instrumented distally.
CONCLUSIONS
The sural nerve displays a highly variable anatomical course and there is a risk of puncture during percutaneous Achilles tendon repair using the Achillon device.
背景
经皮跟腱修复术越来越受欢迎。本研究旨在量化使用 Achillon 装置时跟腱外侧皮神经损伤的风险。
方法
将 Achillon 装置插入 15 具尸体标本中，并通过解剖记录跟腱外侧皮神经穿刺的发生率以及跟腱外侧皮神经与跟腱的位置关系。
结果
跟腱外侧皮神经在跟腱止点外侧的位置范围为 14.3mm，越过跟腱外侧边界的位置范围为 57.7mm。总共穿刺了 6 次跟腱外侧皮神经，在 15 具尸体标本中有 4 例（27%）发生。6 次穿刺中有 4 次发生在 Achillon 装置的远端插入时。
结论
跟腱外侧皮神经的解剖走行非常多变，使用 Achillon 装置进行经皮跟腱修复术时有穿刺的风险。
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