CAJ | 학술논문

目的：探讨采用经皮带线铆钉治疗新鲜闭合性跟腱断裂的临床疗效。方法采用微创带线铆钉治疗新鲜闭合性跟腱断裂32例，其中男27例，女5例，术后随访伤口愈合、足跟疼痛、跟腱再断裂及患侧踝关节功能恢复情况，比较患者手术前后患足跖屈角度差异，采用美国足踝医师协会踝与后足功能评分（AOFAS-AH评分）评估手术前后踝关节功能。结果手术顺利，术中未发生重要血管、神经等组织结构的损伤，所有患者均得到随访，随访时间19～30个月（23.6±4.5）个月，伤口愈合良好未见感染及皮肤坏死，无足跟疼痛和跟腱再断裂发生，踝关节屈伸活动良好。手术前后患足跖屈角度及AOFAS评分差异有统计学意义（P＜0.05）。结论经皮带线铆钉治疗急性闭合性跟腱断裂效果良好并可降低跟腱再断裂等并发症的发生率，其具有手术创伤小、操作简单等优点，是治疗新鲜闭合性跟腱断裂的理想方法。
목적：탐토채용경피대선류정치료신선폐합성근건단렬적림상료효。방법채용미창대선류정치료신선폐합성근건단렬32례，기중남27례，녀5례，술후수방상구유합、족근동통、근건재단렬급환측과관절공능회복정황，비교환자수술전후환족척굴각도차이，채용미국족과의사협회과여후족공능평분（AOFAS-AH평분）평고수술전후과관절공능。결과수술순리，술중미발생중요혈관、신경등조직결구적손상，소유환자균득도수방，수방시간19～30개월（23.6±4.5）개월，상구유합량호미견감염급피부배사，무족근동통화근건재단렬발생，과관절굴신활동량호。수술전후환족척굴각도급AOFAS평분차이유통계학의의（P＜0.05）。결론경피대선류정치료급성폐합성근건단렬효과량호병가강저근건재단렬등병발증적발생솔，기구유수술창상소、조작간단등우점，시치료신선폐합성근건단렬적이상방법。
ObjectiveTo analyze the clinical effects of the mini-invasive treatment of acute closed achilles tendon ruptures with the rivet with thread. MethodsTotally 32 case of acute closed achilles tendon ruptures were treated by the rivet with thread,including 27 males and 5 females. The plantar flexion angle was compared before and after operation. Postoperative follow-up including the healing of skin incision, improvement of heal pain and re-ruptures. AOFAS-AH score was used to evaluate the functional recovery of the sick ankle joint. ResultsThe process of the operation was smooth going without the injury of major vessel and nerve. All patients were followed up for 19-30 months(average 23.6±4.5). Wound heal well without infection and skin necrosis and there was no heel pain and re-ruptures occurred. All patients with good ankle flexion and extension. ConclusionThe clinical effects are valid because of its lesser incidence rate of complication such as re-ruptures, lesser invasive treatment, convenient for clinical application .