Bryant Stewart A, Trang Garrett, Nash Hannah M, Gardner Brandon B, Kim Joo Yeon, Park Hee-Yon, Chakrabarti Moyukh, McGahan Patrick, Chen James L
Advanced Orthopaedics and Sports Medicine, San Francisco, California, U.S.A.
Arthrosc Tech. 2021 Jan 16;10(2):e451-e455. doi: 10.1016/j.eats.2020.10.019. eCollection 2021 Feb.
Achilles repair has evolved over the past 30 years, from large open procedures with high complication rates to shorter, less-invasive procedures with better outcomes. Percutaneous repair has comparable failure rates with open repairs, fewer complications, and faster recovery. However, percutaneous Achilles repairs risk sural nerve injury. A mini-open repair fuses the gap between percutaneous and open procedures, and this approach has the potential to mitigate nerve injury while maintaining the increased efficiency in procedure time and patient recovery. The purpose of this Technical Note and accompanying video is to outline the repair of the Achilles tendon using a mini open repair using a low-profile flat braided suture.
在过去30年中，跟腱修复技术不断发展，从并发症发生率高的大型开放性手术，演变为创伤更小、恢复更快且效果更好的手术。经皮修复与开放性修复的失败率相当，但并发症更少，恢复更快。然而，经皮跟腱修复有腓肠神经损伤的风险。小切口开放修复融合了经皮修复和开放手术的优点，这种方法有可能减轻神经损伤，同时保持手术时间和患者恢复效率的提高。本技术说明及配套视频的目的是概述使用低轮廓扁平编织缝线进行小切口开放修复跟腱的方法。
