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经皮肌腱缝合与 Kessler 缝合技术治疗急性闭合性跟腱断裂的比较。

Comparison between tenocutaneous suture and Kessler suture techniques in treating acute closed Achilles tendon rupture.

机构信息

Department of Orthopaedic Surgery, Third Affiliated Hospital of Suzhou University, China.

Department of Orthopaedic Surgery, Third Affiliated Hospital of Suzhou University, China.

出版信息

Foot Ankle Surg. 2014 Jun;20(2):105-8. doi: 10.1016/j.fas.2013.12.007. Epub 2014 Jan 9.

DOI:10.1016/j.fas.2013.12.007
PMID:24796828
Abstract

BACKGROUND

To compare the effectiveness of tenocutaneous suture and conventional Kessler suture techniques in treating acute closed Achilles tendon rupture.

METHODS

A total of 33 patients with acute closed Achilles tendon rupture who were admitted to our hospital from February 1998 to December 2008 underwent repair with either a tenocutaneous suture or Kessler suture technique. All patients were followed up for 1-5 years (mean, 3 years).

RESULTS

According to the American Orthopaedic Foot and Ankle Society ankle-hindfoot scale, the excellence rate was 91% in the Kessler suture group and 98% in the tenocutaneous suture group, with a significant difference between groups.

CONCLUSION

Our tenocutaneous suture technique is an effective method for treating Achilles tendon rupture. It has certain advantages compared with the conventional incision method and is worthy of wide clinical application.

摘要

背景

比较经皮肌腱缝合与传统克氏缝合治疗急性闭合性跟腱断裂的疗效。

方法

1998 年 2 月至 2008 年 12 月,我院收治的 33 例急性闭合性跟腱断裂患者分别采用经皮肌腱缝合或克氏缝合修复。所有患者均获得 1~5 年(平均 3 年)随访。

结果

美国矫形足踝协会踝-后足评分,克氏缝合组优良率为 91%,经皮肌腱缝合组为 98%,两组比较差异有统计学意义。

结论

我们的经皮肌腱缝合技术是治疗跟腱断裂的一种有效方法。与传统切口方法相比,它具有一定的优势,值得广泛临床应用。

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