Zhao Xiaodong, Yang Xiaolei, Hao Yifan, Yang Fujun, Zhang Zhenping, Qian Qirong, Fu Peiliang, Zhou Qi
Department of Sports Medicine, Weifang Hospital of Traditional Chinese Medicine, Weifang 261021, China.
Department of Anesthesia, Naval Medical University Second Affiliated Hospital, Shanghai 200003, China.
J Pers Med. 2023 Feb 24;13(3):404. doi: 10.3390/jpm13030404.
This study aimed to compare the knotless internal brace technique and the knot-tying suture bridge technique via the medial approach in the treatment of calcific Achilles tendinopathy.
The clinical data of 25 cases of calcific Achilles tendinopathy in which nonoperative treatments had failed were retrospectively collected. All the patients received Achilles tendon debridement and Haglund deformity excision through a medial approach, followed by repair using the knotless internal brace technique or the knot-tying suture bridge technique. Pain was evaluated by using the visual analog scale (VAS). The American Orthopedic Foot and Ankle Score (AOFAS) questionnaire was administered preoperatively and postoperatively.
The mean follow-up time was 2.6 (range 2-3.5) years. There were no wound complications and no Achilles tendon ruptures. At 1 year postoperatively, the internal brace group was superior to the suture bridge group in terms of the VAS scores ( = 0.003). However, no differences were noticed between the two groups in either the VAS or the AOFAS scores at 2 years postoperatively.
The medial approach in combination with the suture bridge technique was effective in treating calcific Achilles tendinopathy. The knotless internal brace technique involved less pain compared to the knot-tying suture bridge technique only at the early postoperative stage.
本研究旨在比较经内侧入路的无结内支撑技术与打结缝合桥技术在治疗钙化性跟腱病中的效果。
回顾性收集25例非手术治疗失败的钙化性跟腱病患者的临床资料。所有患者均通过内侧入路进行跟腱清创和Haglund畸形切除，然后采用无结内支撑技术或打结缝合桥技术进行修复。采用视觉模拟量表（VAS）评估疼痛情况。术前和术后使用美国矫形足踝协会评分（AOFAS）问卷。
平均随访时间为2.6年（范围2 - 3.5年）。无伤口并发症，也无跟腱断裂。术后1年，内支撑组在VAS评分方面优于缝合桥组（ = 0.003）。然而，术后2年两组在VAS或AOFAS评分上均未发现差异。
内侧入路联合缝合桥技术治疗钙化性跟腱病有效。无结内支撑技术仅在术后早期比打结缝合桥技术疼痛更少。
