Giannini S, Girolami M, Ceccarelli F, Catani F, Stea S
Orthopaedic Department, Rizzoli Orthopaedic Institute, Bologna, Italy.
Foot Ankle Int. 1994 Jul;15(7):372-5. doi: 10.1177/107110079401500705.
Surgical repair in fresh rupture of the Achilles tendon should be considered in active patients and athletes to restore their preinjury level of activity. Fifteen cases of Achilles tendon rupture underwent surgical repair using interpositional augmentation. This technique provides an immediate mechanical strength of the repair, avoiding the need for a postoperative plaster cast and allowing immediate motion of the ankle. No wound infection, scar adherence of the skin to the tendon, or rerupture of the tendon is present in this series. All patients were subjectively satisfied with the results and returned to their preinjury level of activity. Objectively, isokinetic assessment revealed no significant difference, as per t-test evaluation (P < .05), between the operated leg and the controlateral one.
对于活跃的患者和运动员，若跟腱新鲜断裂，应考虑进行手术修复以恢复其伤前的活动水平。15例跟腱断裂患者接受了使用间置增强术的手术修复。该技术可立即提供修复的机械强度，无需术后石膏固定，并允许踝关节立即活动。本系列中未出现伤口感染、皮肤与肌腱的瘢痕粘连或肌腱再次断裂的情况。所有患者对结果主观满意，并恢复到伤前的活动水平。客观上，根据t检验评估（P < .05），患侧与对侧腿之间的等速评估无显著差异。
