Boyden E M, Kitaoka H B, Cahalan T D, An K N
Department of Orthopedics, Mayo Clinic, Rochester, MN 55905, USA.
Clin Orthop Relat Res. 1995 Aug(317):150-8.
Eleven patients who had late reconstruction for Achilles tendon rupture were compared with 10 patients who had immediate repair. The followup period averaged 8 years for both groups. Results, based on a clinical score, were successful (excellent or good) for all but 1 patient. Although manual testing demonstrated normal plantar flexion strength in all but 1 patient, significant differences were seen in isometric and isokinetic plantar flexion strength of the involved sides as compared with the uninvolved sides of these patients. The patient with the unsuccessful result had abnormalities in vertical, foreaft, and medial-lateral force components of the ground reaction force. Three-dimensional motion analysis showed decreased total motion in the sagittal plane on the operated side as compared with the unoperated side in this patient. The data indicated that patients with late reconstruction of Achilles tendon rupture have successful clinical results comparable with those of early repair.
将11例接受跟腱断裂晚期重建的患者与10例接受即刻修复的患者进行了比较。两组的随访期平均均为8年。基于临床评分的结果显示，除1例患者外，其余所有患者均取得成功（优秀或良好）。尽管手动测试表明除1例患者外所有患者的跖屈力量均正常，但与这些患者的未受累侧相比，受累侧的等长和等速跖屈力量存在显著差异。结果未成功的患者在地面反作用力的垂直、前后和内外侧力分量方面存在异常。三维运动分析显示，与该患者的未手术侧相比，手术侧矢状面的总运动减少。数据表明，跟腱断裂晚期重建的患者具有与早期修复相当的成功临床结果。
