Levy M, Velkes S, Goldstein J, Rosner M
Clin Orthop Relat Res. 1984 Jul-Aug(187):199-204.
A new technique for the repair of Achilles tendon ruptures has been developed with a Dacron vascular graft used as a tension suture material. The suture is passed through the calcaneal tuberosity and, with two loops applying tension to the tendon at the level of the musculotendinous junction, brings the tendon ends together by creating a solid structure. Post-operative immobilization and its possible adverse sequelae are eliminated by this procedure. The technique was first tested on five dogs with severed Achilles tendons of both hind legs. One side in each animal was repaired with this suture technique; the second leg was left as an untreated control. All the animals recovered from surgery and walked almost normally on the sutured leg within less than three weeks. The dogs did not walk on the unsutured legs. In a second procedure, the control leg was repaired by the same reparative procedure. Equally good results were obtained. The technique was then used on five patients with recent and neglected Achilles tendon ruptures or lacerations. In all instances excellent surgical results were obtained and leg immobilization was virtually eliminated. Physical therapy was begun in the immediate postoperative period. The rehabilitation period was significantly reduced.
一种修复跟腱断裂的新技术已被开发出来，该技术使用涤纶血管移植物作为张力缝合材料。缝线穿过跟骨结节，通过在肌腱-肌肉交界处的水平对肌腱施加张力的两个环，形成一个坚固的结构，使肌腱两端并拢。通过该手术消除了术后固定及其可能的不良后遗症。该技术首先在五只后腿跟腱断裂的狗身上进行测试。每只动物的一侧用这种缝合技术修复；第二条腿作为未治疗的对照。所有动物术后恢复良好，不到三周内缝合腿几乎能正常行走。狗不会用未缝合的腿行走。在第二个步骤中，对照腿通过相同的修复程序进行修复。也获得了同样良好的结果。然后该技术用于五名近期和陈旧性跟腱断裂或撕裂的患者。在所有病例中都获得了出色的手术效果，几乎无需腿部固定。术后立即开始物理治疗。康复期明显缩短。
