Winter E, Weise K, Weller S, Ambacher T
Berufsgenossenschaftliche Unfallklinik, Tübingen, Germany.
Arch Orthop Trauma Surg. 1998;117(6-7):364-7. doi: 10.1007/s004020050267.
Achilles tendon suture combined with a triceps surae tendon tip-over graft was performed in 314 patients with acute rupture of the Achilles tendon between 1980 and 1991. Analysis of these cases showed a low tissue complication rate compared with that reported in the literature. An average of 8.1 years after repair, 223 patients were examined using Holz's scale of clinical assessment after Achilles tendon repair. The results were 'good' in 87.4%, 'fair' in 11.2% and 'poor' in 1.4%. The re-rupture rate was very low (0.4%). These results are better than the re-rupture rate after surgical repair with solely end-to-end suture or after conservative immobilizing or conservative functional treatment. In conclusion, these data show that the fascial reinforcement is a valuable complement to the tendon suture.
1980年至1991年间，对314例急性跟腱断裂患者实施了跟腱缝合联合小腿三头肌腱翻转移植术。对这些病例的分析表明，与文献报道相比，组织并发症发生率较低。修复后平均8.1年，采用霍尔兹跟腱修复后临床评估量表对223例患者进行了检查。结果为“优”的占87.4%，“良”的占11.2%，“差”的占1.4%。再断裂率很低（0.4%）。这些结果优于单纯端端缝合手术修复后或保守固定或保守功能治疗后的再断裂率。总之，这些数据表明筋膜增强是肌腱缝合的一种有价值的补充。
