中国现代手术学杂志2025，Vol.29Issue(3)：216-222,7.DOI:10.16260/j.cnki.1009-2188.2025.03.009
两种技术治疗跟腱止点或近止点断裂的疗效比较
Comparison of the transcalcaneal tunnel suture-button technique and the suture anchor technique for repair of insertional and proximal Achilles tendon ruptures
摘要
Abstract
Objective To compare the efficacy of the transcalcaneal tunnel suture-button technique and the suture anchor technique for the repair of insertional and proximal Achilles tendon ruptures.Methods A retrospective analysis was performed on 104 patients with insertional or proximal Achilles tendon ruptures who underwent surgical treatment between August 2012 and August 2022.Based on the surgical technique,the patients were divided into the transcalcaneal suture-button group and the suture anchor group,with 52 patients in each,and treated with the transcalcaneal tunnel suture-button technique and the suture anchor technique,respec-tively.Perioperative outcomes,postoperative complications,American Orthopaedic Foot & Ankle Society(AOFAS)ankle-hindfoot scores and Achilles Tendon Total Rupture Score(ATRS)were compared between the two groups.Results Compared with the suture anchor group,the operation time was longer,but the intraoperative blood loss,hospital stay and medical costs were significantly less in the transcalcaneal suture-button group(all P＜0.001).All patients were followed up for 12 months.Superficial incision redness and swelling was observed in 3 cases,including 2 cases in the suture anchor group and 1 case in the transcalcaneal suture-button group.The dorsal flexion angle and plantar flexion angle of the involved ankle joint were significantly improved compared with those before operation in both groups(P＜0.001);however,no significant differences were found between the two groups in these angles before or after surgery(P＞0.05).The AOFAS ankle-hindfoot score and ATRS score at 3,6,and 12 months postoperatively were significantly improved compared with preoperative scores in both groups(P＜0.001).At the final follow-up(12 months postoperatively),the AOFAS score was found to be significantly higher in the transcalcaneal suture-button group than in the suture anchor group(P＜0.001).Conclusions Both the transcalcaneal tunnel suture-button technique and the suture anchor technique are effective for the repair of insertional and proximal Achilles tendon ruptures,and result in low rates of postoperative complica-tions and effective restoration of ankle function.However,the transcalcaneal suture-button technique is associated with less surgical trauma,faster patient recovery,superior ankle-hindfoot function at 12 months postoperatively,and lower overall costs,rendering it a safe,effective,and economical method worthy of broader clinical adoption.关键词
跟腱断裂/经跟骨骨隧道线扣技术/带线锚钉技术Key words
Achilles tendon rupture/transcalcaneal tunnel suture-button technique/suture anchor technique引用本文复制引用
贾杰,王阳,车凯薇,高俊峰,王聪,李泽阳,梁虎..两种技术治疗跟腱止点或近止点断裂的疗效比较[J].中国现代手术学杂志,2025,29(3):216-222,7.基金项目
衡水市科技计划项目(2021014057Z) （2021014057Z）
