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[跟腱新鲜损伤的外科治疗]

[Surgical treatment of fresh injuries of the Achilles tendon].

作者信息

Hertz H, Scharf W, Tomiczek H, Wruhs O

出版信息

Unfallchirurgie. 1983 Jun;9(3):162-5.

PMID:6879844
Abstract

We report 35 injuries of the Achilles tendon that have been operated on immediately. Clinical follow-up examinations of 23 patients showed the following results: very good and good in 19 cases, satisfactory in 3 cases and unsatisfactory in one case. Immediate surgery of an injury of the Achilles tendon is clearly preferable to conservative therapy. The functional and the cosmetic results are better after an interwoven Bunell's suture than after the interweaving with the plantaris muscle's tendon. Because of the high rate of infection we do not use the "fibrin adhesive" any more.

摘要

我们报告了35例立即接受手术治疗的跟腱损伤病例。对23例患者的临床随访检查结果如下:19例为非常好和良好,3例为满意,1例为不满意。跟腱损伤立即手术明显优于保守治疗。采用交织的Bunell缝合术后的功能和美容效果比与跖肌腱交织术后更好。由于感染率高,我们不再使用“纤维蛋白粘合剂”。

相似文献

1
[Surgical treatment of fresh injuries of the Achilles tendon].[跟腱新鲜损伤的外科治疗]
Unfallchirurgie. 1983 Jun;9(3):162-5.
2
[Rupture of the Achilles tendon--fibrin gluing or suture?].[跟腱断裂——纤维蛋白黏合还是缝合?]
Chirurg. 1992 Jul;63(7):572-6.
3
Treatment of acute Achilles tendon rupture: fibrin glue versus fibrin glue augmented with the plantaris longus tendon.
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Long-term results after operatively treated Achilles tendon rupture: fibrin glue versus suture.手术治疗跟腱断裂后的长期结果:纤维蛋白胶与缝合术的比较
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Arthroscopically assisted percutaneous repair of fresh closed achilles tendon rupture by Kessler's suture.关节镜辅助下采用凯斯勒缝合法经皮修复新鲜闭合性跟腱断裂
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[Surgical treatment of fresh subcutaneous rupture of the Achilles tendon and results of its treatment].[跟腱新鲜皮下断裂的手术治疗及其治疗结果]
Aktuelle Traumatol. 1989 Feb;19(1):6-10.
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[Percutaneous tenorrhaphy for Achilles tendon rupture. Study of 29 cases].[经皮跟腱缝合术治疗跟腱断裂。29例研究]
Rev Chir Orthop Reparatrice Appar Mot. 1999 Jun;85(3):277-85.
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[Management of Achilles tendon rupture. A comparative study of the adaptation suture and the plantaris tendon interweaving technic].
Unfallchirurg. 1985 Jul;88(7):303-7.
9
Acute Achilles tendon rupture: Mini-incision repair with double-Tsuge loop suture vs. open repair with modified Kessler suture.急性跟腱断裂:双津下袢缝合法小切口修复与改良凯斯勒缝合法切开修复的对比
Surgeon. 2015 Aug;13(4):207-12. doi: 10.1016/j.surge.2014.03.010. Epub 2014 Apr 27.
10
[Treatment of fresh ruptures of the Achilles tendon with resorbable suture materials and a fibrin adhesive].[使用可吸收缝合材料和纤维蛋白粘合剂治疗跟腱新鲜断裂]
Med Welt. 1978 May 12;29(19):796-8.

引用本文的文献

1
[Simultaneous bilateral Achilles tendon rupture following minor trauma on steroid treatment--a case report].[类固醇治疗期间轻微外伤后双侧跟腱同时断裂——病例报告]
Unfallchirurgie. 1990 Feb;16(1):50-4. doi: 10.1007/BF02587997.
2
[MR and ultrasound study of Achilles tendon injury].跟腱损伤的磁共振成像与超声研究
Unfallchirurgie. 1992 Aug;18(4):213-7. doi: 10.1007/BF02588182.

本文引用的文献

1
Surgical and non-surgical treatment of Achilles Tendon rupture. A prospective randomized study.跟腱断裂的手术与非手术治疗。一项前瞻性随机研究。
J Bone Joint Surg Am. 1981 Mar;63(3):394-9.
2
[The typical Achilles tendon rupture and its surgical treatment].[典型跟腱断裂及其手术治疗]
Med Welt. 1981 Apr 17;32(16):597-602.
3
[Subcutaneous Achilles tendon rupture. Comparative follow-up examination of 2 surgical procedures].[皮下跟腱断裂。两种手术方法的对比随访检查]
Unfallheilkunde. 1981 Oct;84(10):427-31.
4
[Experimental experiences with the severing of the Achilles tendon].[跟腱切断的实验经验]
Beitr Orthop Traumatol. 1970 Jan;17(1):59-60.
5
Surgical treatment of 102 tendo achillis ruptures-- suture or tenontoplasty?102例跟腱断裂的手术治疗——缝合还是腱成形术?
Acta Chir Scand. 1975;141(5):370-7.
6
Results of surgical treatment of rupture of the Achilles tendon with use of the plantaris tendon.使用跖肌腱治疗跟腱断裂的手术治疗结果
Arch Chir Neerl. 1977;29(1):39-46.
7
[Achilles tendon lesions and operative therapy: plantaris reconstruction or adaption suture (author's transl)].跟腱损伤与手术治疗:跖肌重建或适应性缝合(作者译)
Unfallheilkunde. 1977 Feb;80(2):73-6.