Malagelada Francesc, Clark Callum, Dega Raman
Heatherwood and Wexham Park Hospitals, Frimley Health NHS Trust London Rd., Ascot, Berkshire SL5 8AA, United Kingdom.
Foot (Edinb). 2016 Aug;28:54-60. doi: 10.1016/j.foot.2016.05.001. Epub 2016 May 26.
Achilles tendon ruptures are increasingly common yet up to a fifth of them are undiagnosed after medical consultation. Those undiagnosed will become chronic ruptures causing considerable functional morbidity and represent a challenge to the treating doctor. The purpose of this article is to discuss the presentation and management of chronic Achilles tendon ruptures. Due to the paucity of data, evidence-based recommendations are unavailable. A number of different surgical techniques are presented and a working algorithm is described to aid in the treatment of these lesions.
跟腱断裂越来越常见，但在就医咨询后仍有多达五分之一的病例未被诊断出来。那些未被诊断出的病例会发展为慢性断裂，导致相当严重的功能障碍，给主治医生带来挑战。本文旨在探讨慢性跟腱断裂的临床表现及治疗方法。由于数据匮乏，无法给出基于证据的建议。文中介绍了多种不同的手术技术，并描述了一种实用的算法以辅助治疗这些损伤。
