Häggmark T, Liedberg H, Eriksson E, Wredmark T
Orthopedics. 1986 Feb;9(2):160-4. doi: 10.3928/0147-7447-19860201-06.
Fifteen operatively and eight non-operatively treated subcutaneous achilles tendon ruptures were randomly selected from 120 surgically and 35 non-surgically treated patients. Their calf muscle function was studied three to five years after treatment. Non-operatively treated patients were found to have a significantly impaired dynamic muscle function of the calf muscles when tested in a specially constructed heel-raise test device. Operatively treated patients did not show any significant impairment of their muscle function. Measurement of muscle area with CT-scanning showed a significant reduction of the calf muscle in the non-operatively treated patient while no such difference could be found in the operatively treated patients. Isokinetic muscle torque did not differ in the two groups of patients, thus Cybex-measurements do not seem to be a discriminating method in studying muscle function after achilles ruptures. On the basis of our findings we recommend that all athletes with achilles tendon ruptures be treated surgically. In non-athletes and older patients non-operative treatment might be considered.
从120例接受手术治疗和35例接受非手术治疗的患者中，随机选取15例接受手术治疗和8例接受非手术治疗的皮下跟腱断裂患者。在治疗三至五年后，对他们的小腿肌肉功能进行了研究。在一个特制的提踵测试装置中进行测试时，发现非手术治疗的患者小腿肌肉的动态肌肉功能明显受损。接受手术治疗的患者未表现出任何明显的肌肉功能损害。通过CT扫描测量肌肉面积显示，非手术治疗的患者小腿肌肉明显减少，而手术治疗的患者未发现这种差异。两组患者的等速肌肉扭矩没有差异，因此Cybex测量似乎不是研究跟腱断裂后肌肉功能的鉴别方法。根据我们的研究结果，我们建议所有跟腱断裂的运动员都接受手术治疗。对于非运动员和老年患者，可以考虑非手术治疗。
