FitzGibbons R E, Hefferon J, Hill J
Department of Orthopaedic Surgery, Northwestern University Medical Center, Chicago, Illinois.
Am J Sports Med. 1993 Sep-Oct;21(5):724-7. doi: 10.1177/036354659302100516.
Fourteen patients underwent percutaneous Achilles tendon repairs between 1982 and 1989 for ruptures approximately 2 to 8 cm from the calcaneal insertion. They were evaluated subjectively (questionnaires) and objectively (physical examinations, Cybex II dynamometer). The minimum follow-up time was 2 years with an average of 3.8 years. Subjectively, all of the patients were satisfied with their overall results. Objectively, no significant difference was demonstrated by Cybex II evaluation at 60 and 120 deg/sec. A significant difference was seen at 180 deg/sec, but this represented only a 13% loss of power. No infections, delayed wound healing, reruptures, or evidence of thrombophlebitis were noted. There was one sural nerve injury.
1982年至1989年间,14例患者因跟腱距跟骨附着点约2至8厘米处断裂接受了经皮跟腱修复术。对他们进行了主观评估(问卷调查)和客观评估(体格检查、Cybex II测力计)。最短随访时间为2年,平均为3.8年。主观上,所有患者对其总体结果都很满意。客观上,Cybex II在60度/秒和120度/秒时的评估未显示出显著差异。在180度/秒时出现了显著差异,但这仅代表13%的力量损失。未发现感染、伤口愈合延迟、再断裂或血栓性静脉炎迹象。有1例腓肠神经损伤。