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经皮超声引导下跟腱断裂修复术：一项尸体研究及初步临床报告

Percutaneous ultrasound-guided repair of Achilles tendon rupture: a cadaveric study and preliminary clinical report.

作者信息

Iborra Alvaro, Villanueva Manuel, Ferro Daniel, Palacios Jose, Maffulli Nicola

机构信息

Institute Avanfi, Madrid, 28020, Spain.

Unit for Ultrasound-Guided Surgery, Hospital Beata Maria Ana, Madrid, Spain.

出版信息

J Orthop Surg Res. 2025 Sep 24;20(1):825. doi: 10.1186/s13018-025-06098-z.

DOI:10.1186/s13018-025-06098-z
PMID:40993791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12459053/
Abstract

Percutaneous repair is a safe and reliable method to restore continuity after acute Achilles tendon ruptures, with a lower incidence of wound complications than to open techniques. We describe a percutaneous ultrasound-guided surgical technique for acute Achilles tendon ruptures. Ultrasound guidance enables the tendon to be sutured without damaging the sural nerve or vessels. Following a cadaveric study in seven specimens, the technique was then used in 11 Achilles tendon tear patients. Ultrasound-guided repair of Achilles tendon ruptures is safe and reliable, and does not require skin incisions or a tourniquet. No re-ruptures nor sural nerve damage were recorded at the latest follow-up. Appropriately powered clinical studies are necessary to compare this closed technique with other percutaneous or minimally invasive techniques.

摘要

经皮修复是急性跟腱断裂后恢复连续性的一种安全可靠的方法，与开放技术相比，伤口并发症的发生率更低。我们描述一种用于急性跟腱断裂的经皮超声引导手术技术。超声引导能在不损伤腓肠神经或血管的情况下缝合肌腱。在对七个标本进行尸体研究后，该技术随后被用于11例跟腱撕裂患者。超声引导下修复跟腱断裂安全可靠，且无需皮肤切口或使用止血带。在最近的随访中未记录到再断裂或腓肠神经损伤。有必要进行适当规模的临床研究，以将这种闭合技术与其他经皮或微创技术进行比较。

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本文引用的文献

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J Orthop Surg Res. 2023 Sep 12;18(1):677. doi: 10.1186/s13018-023-04167-9.
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Positional relationship between the Achilles tendon and sural nerve on ultrasound.超声下跟腱与腓肠神经的位置关系。
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Needle-based gastrocnemius lengthening: a novel ultrasound-guided noninvasive technique.基于针的腓肠肌延长术：一种新的超声引导下的无创技术。
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A novel closed technique for ultrasound-guided plantar fascia release with a needle: review of 107 cases with a minimum follow-up of 24 months.一种新型闭合式超声引导足底筋膜松解术：107 例患者至少 24 个月随访结果回顾。
J Orthop Surg Res. 2021 Feb 24;16(1):153. doi: 10.1186/s13018-021-02302-y.
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