Liles Jordan, Adams Samuel B
Department of Orthopaedic Surgery, Duke University Medical Center, Box 3000, Durham, NC 27710, USA.
Duke University Medical Center, 40 Duke Medicine Circle, Room 5309 (Orange), Durham, NC 27710, USA.
Foot Ankle Clin. 2019 Sep;24(3):447-457. doi: 10.1016/j.fcl.2019.04.008. Epub 2019 May 29.
There are multiple techniques to treat tendon defects in the event end-to-end repair cannot be achieved after débridement. In general, the choice of treatment technique is based on size of the resultant gap. Although each treatment technique has literature to support its use, there are no data to support the use of one technique over another. Treatment should be based on the experience and discretion of the treating surgeon. This article proposes an algorithm for wound breakdown, infection, and rerupture after Achilles tendon surgery. This algorithm should be used as a guide.
如果清创后无法进行端端修复，有多种技术可用于治疗肌腱缺损。一般来说，治疗技术的选择基于所形成间隙的大小。虽然每种治疗技术都有文献支持其应用，但没有数据支持一种技术优于另一种技术。治疗应基于主刀医生的经验和判断。本文提出了一种跟腱手术后伤口裂开、感染和再断裂的处理流程。该流程应作为指导使用。
