年龄是急性跟腱断裂患者对侧肌腱断裂的一个危险因素。
Age is a risk factor for contralateral tendon rupture in patients with acute Achilles tendon rupture.
机构信息
Department of Orthopaedic Surgery, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul, 08308, South Korea.
Department of Orthopaedic Surgery, Korea University Ansan Hospital, 123 Jeokgeum-ro, Danwon-gu, Ansan, 15355, South Korea.
出版信息
Knee Surg Sports Traumatol Arthrosc. 2020 May;28(5):1625-1630. doi: 10.1007/s00167-019-05380-y. Epub 2019 Feb 18.
PURPOSE
Rupture of the contralateral Achilles tendon following Achilles tendon rupture can lead to devastating outcomes. However, despite the clinical importance, the risk factors and incidence of contralateral Achilles tendon rupture have not been well studied. This study aimed to determine the incidence of contralateral tendon rupture after Achilles tendon rupture and to identify associated patient characteristics.
METHODS
Medical records for 226 consecutive patients with Achilles tendon rupture were retrospectively reviewed. The occurrence of contralateral Achilles tendon rupture and patient characteristics were determined through review of medical records and telephone surveys.
RESULTS
The cumulative incidences of contralateral Achilles tendon rupture at 1, 3, 5, and 7 years after Achilles tendon rupture were 0.4%, 1.8%, 3.4%, and 5.1%, respectively. The only statistically significant risk factor was age between 30 and 39 years at the time of initial Achilles tendon rupture (hazard ratio = 4.9).
CONCLUSIONS
Patients who sustain Achilles tendon rupture in their 30 s have significantly increased risk for contralateral tendon rupture.
LEVEL OF EVIDENCE
III.
目的
跟腱断裂后对侧跟腱断裂可导致严重后果。然而，尽管具有临床重要性，但对侧跟腱断裂的危险因素和发生率尚未得到很好的研究。本研究旨在确定跟腱断裂后对侧肌腱断裂的发生率，并确定相关的患者特征。
方法
回顾性分析 226 例连续跟腱断裂患者的病历。通过病历回顾和电话调查确定对侧跟腱断裂的发生和患者特征。
结果
跟腱断裂后 1、3、5 和 7 年的对侧跟腱断裂累积发生率分别为 0.4%、1.8%、3.4%和 5.1%。唯一具有统计学意义的危险因素是初次跟腱断裂时年龄在 30-39 岁（风险比=4.9）。
结论
初次跟腱断裂发生在 30 多岁的患者发生对侧肌腱断裂的风险显著增加。
证据水平
III 级。
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