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跟腱缝合术后伤口愈合延迟：一种关节镜解决方案。

Delayed Wound Healing After Achilles Tendon Suture: An Arthroscopic Solution.

作者信息

Chen Hong-Yu, Ao Ying-Fang, Yang Yu-Ping

机构信息

Peking University Health Science Center, Beijing, P.R. China.

Department of Sports Medicine, Peking University Third Hospital, Beijing Key Laboratory of Sports Injuries, Beijing, P.R. China.

出版信息

Arthrosc Tech. 2022 Feb 18;11(3):e397-e402. doi: 10.1016/j.eats.2021.11.007. eCollection 2022 Mar.

DOI:10.1016/j.eats.2021.11.007
PMID:35256982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8897600/
Abstract

This technical note describes an arthroscopic technique for treating delayed wound healing after Achilles tendon suture. Ankle arthroscopy is used to clean up the inflammatory tissues and foreign bodies that lead to delayed wound healing, with the advantages of simple postoperative care and low infection risk. This method may provide a less traumatic and low-risk option for the treatment of delayed wound healing after Achilles tendon surgery. The purpose of this technical note is to describe surgical procedures and related recommendations.

摘要

本技术说明描述了一种用于治疗跟腱缝合术后伤口延迟愈合的关节镜技术。踝关节镜用于清理导致伤口延迟愈合的炎性组织和异物，具有术后护理简单、感染风险低的优点。该方法可为跟腱手术后伤口延迟愈合的治疗提供创伤较小且风险较低的选择。本技术说明的目的是描述手术步骤及相关建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/8897600/6657a122f080/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/8897600/a4a7ddf51c25/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/8897600/075021e650bd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/8897600/6b1f549426fa/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/8897600/69ada89ecf3c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/8897600/9aa12867e187/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/8897600/6657a122f080/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/8897600/a4a7ddf51c25/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/8897600/075021e650bd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/8897600/6b1f549426fa/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/8897600/69ada89ecf3c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/8897600/9aa12867e187/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c0/8897600/6657a122f080/gr6.jpg

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本文引用的文献

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Delayed Onset of Infectious Foreign Body Granuloma for Nonabsorbable Sutures After Open Achilles Tendon Repair: A Case Report.可吸收缝线与不可吸收缝线在跟腱开放修复术后迟发性感染性异物肉芽肿的发生情况：病例报告
J Foot Ankle Surg. 2021 Nov-Dec;60(6):1297-1300. doi: 10.1053/j.jfas.2021.04.025. Epub 2021 Jul 20.
2
Endoscopic Surgery for Delayed Wound Healing After Achilles Tendon Suture Repair: A Report of Three Cases.内镜手术治疗跟腱缝合修复后延迟愈合的伤口：三例报告。
Orthop Surg. 2021 May;13(3):1126-1131. doi: 10.1111/os.12995. Epub 2021 Apr 7.
3
Heel Complications.
足跟并发症。
Clin Podiatr Med Surg. 2021 Apr;38(2):183-191. doi: 10.1016/j.cpm.2020.12.004.
4
Comparing Absorbable and Nonabsorbable Suture Materials for Repair of Achilles Tendon Rupture: A Magnetic Resonance Imaging-Based Study.比较可吸收与不可吸收缝合材料修复跟腱断裂：一项基于磁共振成像的研究
Diagnostics (Basel). 2020 Dec 13;10(12):1085. doi: 10.3390/diagnostics10121085.
5
Management of Complications of Achilles Tendon Surgery.跟腱手术并发症的处理
Foot Ankle Clin. 2019 Sep;24(3):447-457. doi: 10.1016/j.fcl.2019.04.008. Epub 2019 May 29.
6
Surgical versus non-surgical treatment for acute Achilles' tendon rupture. A systematic review of literature and meta-analysis.急性跟腱断裂的手术治疗与非手术治疗：文献系统综述与荟萃分析
Foot Ankle Surg. 2020 Apr;26(3):280-288. doi: 10.1016/j.fas.2019.03.010. Epub 2019 Apr 4.
7
Operative treatment versus nonoperative treatment of Achilles tendon ruptures: systematic review and meta-analysis.手术治疗与非手术治疗跟腱断裂的疗效比较：系统评价和荟萃分析。
BMJ. 2019 Jan 7;364:k5120. doi: 10.1136/bmj.k5120.
8
Surgical Versus Non-Surgical Methods for Acute Achilles Tendon Rupture: A Meta-Analysis of Randomized Controlled Trials.急性跟腱断裂的手术与非手术方法：随机对照试验的荟萃分析
J Foot Ankle Surg. 2018 Nov-Dec;57(6):1191-1199. doi: 10.1053/j.jfas.2018.05.007.
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Surgical Treatment Versus Conservative Management for Acute Achilles Tendon Rupture: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.急性跟腱断裂的手术治疗与保守治疗：随机对照试验的系统评价和荟萃分析
J Foot Ankle Surg. 2017 Nov-Dec;56(6):1236-1243. doi: 10.1053/j.jfas.2017.05.036.
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