Ríos-Ruiz J G, González-Torres D M, Valdez-Jiménez L A
Shriners Hospital for Children-Mexico. Av. del Imán Núm. 257, Col. Pedregal de Santa Úrsula, CP 04600, Deleg. Coyoacán, Ciudad de México. México.
Acta Ortop Mex. 2017 May-Jun;31(3):123-127.
The aim of this study was to determine the healing time of Achilles tendon in pediatric patients treated with Achilles tenotomy with the Ponseti method in Shriners Childrens Hospital of Mexico, AC.
Experimental, analytical, prospective, longitudinal study of patients with a diagnosis of idiopathic congenital clubfoot treated with the Ponseti method with serial static and dynamic evaluation by ultrasound in real time with a Siemens Diagnostic Ultrasound System Sonoline 650, linear transducer 10.5 MHz of Achilles tendon before tenotomy and at three, six, nine and 12 weeks after the surgical treatment.
A sample of 23 patients, 16 male and seven female, 16 with unilateral and seven with bilateral pathology was obtained, for a total of 39 feet, 18 right and 21 left, with a mean age of 8.3 ± 2.3 months. Before tenotomy, the width was 2.7 ± 0.42 mm; in week three, the average was 3 ± 0.39 mm; at six weeks, 2.92 ± 0.36 mm; ultrasound at nine weeks reported an average of 0.38 ± 2.84 mm, and 2.82 ± 0.39 mm at twelve weeks. They were compared using Students t presurgical width and at twelve weeks, without finding difference p 0.03.
Although there is integrity at three weeks after Achilles tenotomy, complete repair is achieved at 12 weeks.
本研究旨在确定在墨西哥AC市施莱宁儿童医院采用庞塞蒂方法进行跟腱切断术治疗的小儿患者跟腱的愈合时间。
对诊断为特发性先天性马蹄内翻足的患者进行实验性、分析性、前瞻性纵向研究，采用庞塞蒂方法治疗，并使用西门子诊断超声系统Sonoline 650（线性探头10.5 MHz）在跟腱切断术前以及手术治疗后3周、6周、9周和12周进行实时超声的连续静态和动态评估。
共纳入23例患者，其中男性16例，女性7例，16例为单侧病变，7例为双侧病变，共计39只足，其中右足18只，左足21只，平均年龄8.3±2.3个月。跟腱切断术前，宽度为2.7±0.42 mm；3周时，平均为3±0.39 mm；6周时，为2.92±0.36 mm；9周超声报告平均为2.84±0.38 mm，12周时为2.82±0.39 mm。对术前宽度和12周时的宽度进行学生t检验比较，未发现差异（p>0.03）。
虽然跟腱切断术后3周时跟腱保持完整，但在12周时实现完全修复。
