Bilge Ali, Kuru Tolgahan
Orthopaedics and Traumatology, Canakkale Onsekiz Mart University, Canakkale, TUR.
Cureus. 2020 Jul 12;12(7):e9159. doi: 10.7759/cureus.9159.
Objectives Achilles tendon rupture (ATR) in adults often results from sporting activities, especially in young adults. There is no consensus in the literature on the best treatment approach in the treatment of these ruptures. The objective of this study was to evaluate the clinical long-term results of the augmented ATR repair using the modified Lindholm procedure (MLP). Methods Patients who underwent MLP due to ATR in the orthopedics and traumatology clinic of our hospital between 2007 and 2014 were retrospectively evaluated. Medical history of the patients was noted, and preoperative physical examination was routinely performed using the Thompson compression test. Patients' demographic data such as age and gender, tendon rupture side, postoperative follow-up duration, and gap range values were recorded and evaluated. Results The mean age of the patients was 29.43 ± 7.10 years. The mean postoperative follow-up duration was 50.1 ± 8.20 months. Of the patients, 16 were injured during football, 10 during basketball, 2 during volleyball, and the remaining 8 during other sporting activities. When Arner-Lindholm scores were evaluated during follow-up, excellent outcome was achieved in 30 patients and good outcome was achieved in 6 patients, whereas there was no patient with poor outcome. None of the patients developed tendon re-rupture. At the end of the fourth postoperative month, the range of ankle motion was 100% in all patients. Conclusions In patients with spontaneous AT tendon rupture, MLP seems to prevent the re-rupture in the long-term period and should be considered as a safe procedure to repair ATR.
目的 成人跟腱断裂（ATR）常因体育活动所致，尤其是在年轻人中。关于这些断裂的最佳治疗方法，文献中尚无共识。本研究的目的是评估采用改良Lindholm手术（MLP）进行增强型ATR修复的临床长期效果。方法 对2007年至2014年期间在我院骨科和创伤科因ATR接受MLP手术的患者进行回顾性评估。记录患者的病史，并常规使用汤普森挤压试验进行术前体格检查。记录并评估患者的年龄、性别等人口统计学数据、肌腱断裂侧、术后随访时间以及间隙范围值。结果 患者的平均年龄为29.43±7.10岁。术后平均随访时间为50.1±8.20个月。其中，16例患者在足球运动中受伤，10例在篮球运动中受伤，2例在排球运动中受伤，其余8例在其他体育活动中受伤。随访期间评估阿纳-林德霍尔姆评分时，30例患者获得优秀结果，6例患者获得良好结果，而无患者结果不佳。所有患者均未发生肌腱再次断裂。术后第四个月末，所有患者的踝关节活动范围均为100%。结论 对于自发性跟腱断裂患者，MLP似乎能长期预防再次断裂，应被视为修复ATR的一种安全手术方法。
