Miller Timothy L, Welder Eric
Jameson Crane Sports Medicine Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Department of Orthopaedic Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Video J Sports Med. 2021 Feb 23;1(1):2635025421992782. doi: 10.1177/2635025421992782. eCollection 2021 Jan-Feb.
Achilles tendon ruptures occur most commonly in male individuals aged between 30 and 60 years.
Surgical options for treatment of acute midsubstance Achilles tendon ruptures in the athletically active population include open, mini-open, and percutaneous techniques.
The giftbox suture configuration has been popularized by multiple authors. Here, a modified giftbox technique for Achilles tendon repair is shown in detail and uses nonabsorbable suture loops, a novel method for primarily repairing complete Achilles tendon ruptures.
This mini-open technique has demonstrated, at a minimum of 1-year follow-up, outcomes that are comparable with previously reported Achilles tendon repair procedures with no re-ruptures and low overall complication rates in the first 60 patients who have undergone this procedure. The mean time to release to unrestricted activity following repair by this technique is 24.3 weeks, which is earlier than most standard techniques.
Achilles tendon repair using the modified gift box technique with nonabsorbable suture loops is a safe and reliable technique for repair of midsubstance tendon ruptures in athletically active patients. The mean time to release to unrestricted activity following repair by this technique is earlier than most standard techniques.
跟腱断裂最常发生在30至60岁的男性个体中。
对于活跃的运动员群体中急性跟腱中段断裂的治疗，手术选择包括开放、微创开放和经皮技术。
礼盒缝合构型已被多位作者推广。在此，详细展示了一种用于跟腱修复的改良礼盒技术，该技术使用不可吸收缝线环，这是一种主要修复完全性跟腱断裂的新方法。
在至少1年的随访中，这种微创开放技术的结果与先前报道的跟腱修复手术相当，在前60例接受该手术的患者中无再次断裂，总体并发症发生率较低。采用该技术修复后恢复至不受限制活动的平均时间为24.3周，这比大多数标准技术更早。
使用带有不可吸收缝线环的改良礼盒技术进行跟腱修复，对于活跃的运动员患者的肌腱中段断裂修复是一种安全可靠的技术。采用该技术修复后恢复至不受限制活动的平均时间比大多数标准技术更早。
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