CAJ | 학술논문

目的：探讨采用经皮带线铆钉治疗急性闭合性跟腱断裂的临床疗效。方法25例急性闭合性跟腱断裂病例，采用经皮带线铆钉治疗，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，采用Arner Lindholm疗效评定标准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，按Arner Lindholm评分标准，本组优21例，良4例，优良率100%。结论经皮带线铆钉治疗急性闭合性跟腱断裂效果良好，可降低跟腱再断裂等并发症的发生率，是治疗急性闭合性跟腱断裂的理想方法。
목적：탐토채용경피대선류정치료급성폐합성근건단렬적림상료효。방법25례급성폐합성근건단렬병례，채용경피대선류정치료，술후수방상구유합、족근동통、근건재단렬급환측과관절공능회복정황，채용Arner Lindholm료효평정표준평고수술전후과관절공능。결과수술순리，술중미발생중요혈관、신경등조직결구적손상，소유환자균득도수방，안Arner Lindholm평분표준，본조우21례，량4례，우량솔100%。결론경피대선류정치료급성폐합성근건단렬효과량호，가강저근건재단렬등병발증적발생솔，시치료급성폐합성근건단렬적이상방법。
Objective To investigate the clinical effects of the percutaneous treatment of acute closed Achil es tendon ruptures with the rivet with thread. Method The data of twenty-five patients of the acute closed Achil es tendon ruptures receiving percutaneous treatment with the rivet with thread were reviewed, including the healing of skin incision, improvement of heal pain, re-ruptures after operations. The plantar flexion angle was compared before and after operation. Arner Lindholm system was used to evaluate the functional recovery of the sick ankle joint. Results The process of the operation was smooth going without the injury of major vessel and nerve . Al patients were fol owed up. According to Arner Lindholm system the treatment outcome was excellent in twenty-one cases and good in three., with excellence rate of 100%. Conclusions The clinical effects were valid because of its lesser incidence rate of complication such as re-ruptures, lesser invasive treatment,convenient for clinical application.