Patel Milap S, Kadakia Anish R
Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 259 East Erie, 13th Floor, Chicago, IL 60611, USA.
Department of Orthopaedic Surgery, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 259 East Erie, 13th Floor, Chicago, IL 60611, USA.
Foot Ankle Clin. 2019 Sep;24(3):399-424. doi: 10.1016/j.fcl.2019.05.002. Epub 2019 Jun 18.
Achilles tendon rupture is a common injury to the lower extremity that requires appropriate treatment to minimize functional deficit. Available treatments of Achilles tendon ruptures include nonoperative, open surgical repair, percutaneous repair, and minimally invasive repair. Open surgical repair obtains favorable functional outcomes with significant potential for deep soft tissue complications, calling into question the value of open repair. Percutaneous repair is an alternative option with comparable functional results and minimal soft tissue complications; however, sural nerve injury is a complication. Minimally invasive Achilles repair offers optimal results with superior functional outcomes with minimal soft tissue complications and sural nerve injury.
跟腱断裂是下肢常见的损伤,需要适当治疗以尽量减少功能缺陷。现有的跟腱断裂治疗方法包括非手术治疗、开放手术修复、经皮修复和微创修复。开放手术修复可获得良好的功能结果,但有发生深部软组织并发症的重大风险,这使得开放修复的价值受到质疑。经皮修复是一种替代选择,功能结果相当,软组织并发症最少;然而,腓肠神经损伤是一种并发症。微创跟腱修复提供了最佳结果,功能结果优异,软组织并发症和腓肠神经损伤最少。