Carden D G, Noble J, Chalmers J, Lunn P, Ellis J
J Bone Joint Surg Br. 1987 May;69(3):416-20. doi: 10.1302/0301-620X.69B3.3294839.
We have reviewed 106 patients after treatment for spontaneous rupture of the calcaneal tendon, and assessed the clinical results including the power of plantarflexion. In patients treated within 48 hours of injury the result was very similar in conservatively and in operatively treated patients. The incidence of major complications was higher after operation (17%) than in those treated conservatively (4%). Patients who were treated more than one week after injury, however, had an inferior result with respect to power of plantarflexion after conservative management. It is therefore recommended that calcaneal tendon rupture is treated conservatively with a plaster in full equinus when it is diagnosed within 48 hours of injury, and by operation when diagnosis has been delayed for more than one week.
我们回顾了106例跟腱自发性断裂治疗后的患者，并评估了包括跖屈力量在内的临床结果。在受伤后48小时内接受治疗的患者中，保守治疗和手术治疗的结果非常相似。手术后主要并发症的发生率（17%）高于保守治疗的患者（4%）。然而，受伤超过一周后接受治疗的患者，保守治疗后跖屈力量的结果较差。因此，建议跟腱断裂在受伤后48小时内确诊时采用全马蹄位石膏保守治疗，而诊断延迟超过一周时则采用手术治疗。
