He Ze-yang, Chai Ming-xiang, Liu Yue-ju, Zhang Xiao-ran, Zhang Tao, Song Lian-xin, Ren Zhi-xin, Wu Xi-rui
Department of Orthopaedic Surgery and Key Biomechanical Laboratory of Orthopaedics, Third Hospital of Hebei Medical University, Shijiazhuang, China.
First Affiliated Hospital of Xinxiang Medical College, Xinxiang, China.
Orthop Surg. 2015 Nov;7(4):359-63. doi: 10.1111/os.12201.
The aim of this study is to introduce a self-designed, minimally invasive technique for repairing an acute Achilles tendon rupture percutaneously. Comparing with the traditional open repair, the new technique provides obvious advantages of minimized operation-related lesions, fewer wound complications as well as a higher healing rate. However, a percutaneous technique without direct vision may be criticized by its insufficient anastomosis of Achilles tendon and may also lead to the lengthening of the Achilles tendon and a reduction in the strength of the gastrocnemius. To address the potential problems, we have improved our technique using a percutaneous Kirschner wire leverage process before suturing, which can effectively recover the length of the Achilles tendon and ensure the broken ends are in tight contact. With this improvement in technique, we have great confidence that it will become the treatment of choice for acute Achilles tendon ruptures.
本研究的目的是介绍一种自行设计的经皮微创技术，用于修复急性跟腱断裂。与传统的开放修复相比，新技术具有手术相关损伤最小化、伤口并发症更少以及愈合率更高等明显优势。然而，一种没有直视的经皮技术可能因其跟腱吻合不充分而受到批评，也可能导致跟腱延长和腓肠肌力量减弱。为了解决这些潜在问题，我们在缝合前采用经皮克氏针杠杆技术改进了我们的技术，这可以有效地恢复跟腱长度并确保断端紧密接触。随着技术的改进，我们坚信它将成为急性跟腱断裂的首选治疗方法。
