CAJ | 학술논문

12例急性闭合性跟腱断裂患者采用改良Kessler法修补跟腱,后用Mitek Anchor钉各1枚置于跟腱内外侧跟骨内,采用Bunnell方法将尾线由远向近穿经跟腱断端,加固缝合后的跟腱.随访伤口愈合情况、负重行走时间、足跟部疼痛和跟腱再断裂情况,采用Arner-Lindholm方法评价踝关节功能.修补后未见切口感染或者皮肤坏死病例.12例患者锚钉置入辅助加固修补跟腱后随访14～25个月,平均17个月.无足跟部疼痛和再断裂发生,根据Arner-Lindholm踝关节功能评定标准,优4例,良8例.结果提示,采用Mitek Anchor系统辅助加固治疗急性闭合性跟腱断裂,跟腱修补后可早期负重,降低了跟腱再断裂发生率,是一种理想的治疗方法.
12례급성폐합성근건단렬환자채용개량Kessler법수보근건,후용Mitek Anchor정각1매치우근건내외측근골내,채용Bunnell방법장미선유원향근천경근건단단,가고봉합후적근건.수방상구유합정황、부중행주시간、족근부동통화근건재단렬정황,채용Arner-Lindholm방법평개과관절공능.수보후미견절구감염혹자피부배사병례.12례환자묘정치입보조가고수보근건후수방14～25개월,평균17개월.무족근부동통화재단렬발생,근거Arner-Lindholm과관절공능평정표준,우4례,량8례.결과제시,채용Mitek Anchor계통보조가고치료급성폐합성근건단렬,근건수보후가조기부중,강저료근건재단렬발생솔,시일충이상적치료방법.
A total of 12 cases with Achilles tendon rupture were repaired by modified Kessler's methods.The sutured tendons were then strengthened with Mitek anchor system with 2 anchors inserted into the calcaneus lateral and medial to insertion of Achilles tendon and the sutures passed through the repaired tendon using Bunnel methods.The healing of skin incision,time to weight bearing,range of motion of the ankles,calcaneal pain and re-ruptures were recorded.The results were evaluated according to Amer-Lindholm criteria.All the patients were followed up with mean 17 months (range from 14 to 25 months).There were no calcaneeal pain or re-rupture cases,neither deep nor superficial wound infection or skin necrosis cases.According to Arner-Lindholm criteria for curative result,the result was excellent in 4 cases and good in 8 cases.The Mitek anchor system can be used successfully to treat Achilles tendon rupture and decrease postoperative complications.Thus,the technique is an ideal option for Achilles tendon rupture repair.