Hanna J R, Russell R D, Giacopelli J A
Fountain Valley Regional Hospital, Huntington Beach, CA 92647.
J Am Podiatr Med Assoc. 1993 Dec;83(12):663-8. doi: 10.7547/87507315-83-12-663.
Surgical repair of an acute, distal, tendo Achillis rupture in a 59-year-old diabetic male is described in which the Mitek Anchor System was used. The injury described is a distal tear of the insertion of the tendon into the calcaneus without avulsion fracture of the calcaneus. Sixteen months of postoperative follow-up care, including casting for equinus deformity, progressive weightbearing, range of motion exercises, and physical therapy, have been free of complications. The authors include a brief overview of historical and current reparative techniques for comparison. The authors conclude that the use of the Mitek Anchor System affords the surgeon a simple and effective method for the repair of acute, distal, tendo Achillis rupture when other methods cannot be used because of the location of the rupture.
本文描述了一名59岁男性糖尿病患者急性跟腱远端断裂的手术修复过程，术中使用了Mitek锚钉系统。该损伤为跟腱在跟骨附着处的远端撕裂，未伴有跟骨撕脱性骨折。术后进行了16个月的随访护理，包括针对马蹄足畸形进行石膏固定、逐步负重、关节活动度练习和物理治疗，均未出现并发症。作者简要概述了既往和当前的修复技术以作比较。作者得出结论，当因断裂位置原因无法使用其他方法时，Mitek锚钉系统为外科医生提供了一种简单有效的急性跟腱远端断裂修复方法。
