中国骨伤2011,Vol.24Issue(12):1016-1019,4.DOI:10.3969/j.issn.1003-0034.2011.12.012
缝线锚钉与传统钢丝缝合法修复跟腱近止点断裂的病例对照研究
Case-control study on the reconstruction of near distal tendo achillis rupture by suture anchors and traditional steel wire
谢秉局 1王伟良 1杨国敬 1林光锚 1潘展鹏 1刘良乐1
作者信息
- 1. 温州医学院附属第三医院骨科,浙江温州325200
- 折叠
摘要
Abstract
Objective:To compare the curative effects of newly suture anchors and traditional steel wire for the reconstruction of near distal tendo achillis rupture. Methods: The clinical data of 36 patients with near distal tendo achillis rupture from June 2007 to February 2011 were retrospectively analyzed. Among 31 patients receiving reconstruction by suture anchors , 22 patients were male and 9 patients were female, with a mean age of 35.5 years (ranging from 16 to 52 years ). Among 25 patients treated with traditional steel wire, 19 patients were male and 6 patients were female,with a mean age of 37.6 years (ranging from 22 to 53 years). The different rehabilitation was conducted for every patient at different times after operation. The position of suture anchor and steel wire were recorded. The clinical data such as operative time,complications of the surgery and the function of stendo achillis were analyzed. The healing of stendo achillis and functional recovery were assessed by Arner -Llindholm standard. Results: All the patients were followed up with an average during of 24.2 months. There were no intraoperative injuries on blood vessels, nerve and tendon. The average operative time and postoperative complications of suture anchors were lower than there of the traditional steel wire (t=8.75,P=0.00; x2=5.42,P=0.02). The functional recovery of tendo achillis repaired by suture anchors was better than that in the group of traditional steel wire (X2=7.65,P=0.02). Conclusion: Compared to the traditional steel wire, suture anchor demonstrate the superior performance on repairing rupture of the near distal tendo achillis,which is a reliable and effective treatment methods.关键词
跟腱/创伤与损伤/缝合技术/病例对照研究Key words
Achilles tendon/ Wounds and injuries/ Suture techniques/ Case-control studies引用本文复制引用
谢秉局,王伟良,杨国敬,林光锚,潘展鹏,刘良乐..缝线锚钉与传统钢丝缝合法修复跟腱近止点断裂的病例对照研究[J].中国骨伤,2011,24(12):1016-1019,4.