中国现代手术学杂志2025，Vol.29Issue(5)：392-398,7.DOI:10.16260/j.cnki.1009-2188.2025.05.007
微创横切口卵圆钳辅助穿针缝合与微创小切口改良缝合法用于急性闭合性跟腱断裂的疗效比较
Comparison of the therapeutic effects of minimally invasive transverse incision with ovoid clamp-assis-ted needle passage suture and minimally invasive small incision modified suture method in acute closed Achilles tendon rupture
摘要
Abstract
Objective To compare the efficacy of minimally invasive transverse incision with ovoid clamp-assisted needle passage suture with the minimally invasive modified suture technique for the treatment of acute closed traumatic Achilles tendon rupture.Methods A prospective randomized controlled study was used.A total of 120 patients with acute closed Achilles tendon rupture who were admitted to Cangzhou People's Hospital from January 2021 to January 2024 were selected.According to the random number table method,the patients were divided into Group A and Group B,with 60 cases in each group.Group A was treated with mini-mally invasive transverse incision combined with ovoid clamp-assisted needle passage suture,while Group B was treated with minimally invasive small incision modified suture technique.The following indicators were com-pared between the two groups:intraoperative blood loss,incision length,time to ambulation(ability to walk on the ground),length of hospital stay,operation duration,ankle dorsiflexion range of motion,the Ankle-Hindfoot Scale(AHS)developed by the American Orthopaedic Foot and Ankle Society(AOFAS),and differences in ankle joint function.Results There was no significant difference in the time to full weight-bearing activity or length of hospital stay between the two groups(P>0.05).Compared with Group B,Group A had less intraoperative blood loss,a shorter incision length,and a shorter operation duration,while the time from surgery to first ambulation(ability to walk on the ground)was longer in Group A(P<0.05).At3 months postoperatively,the active and passive dorsiflexion range of motion,pain score,function score,foot alignment score,and total score of both groups were significantly higher than those in the same group before surgery(P<0.05).Specifically,Group A showed higher values in passive dorsiflexion range of motion,pain score,function score,and total score of AOFAS-AHS com-pared with Group B(P<0.05),while no significant difference was observed in the foot alignment score between the two groups(P>0.05).The last follow-up was conducted at 6 months postoperatively.All patients in both groups were able to walk normally with strong weight-bearing capacity.According to the Achilles Tendon Complete Rupture Scoring Questionnaire,the ankle joint function of patients in both groups was classified,and there was no significant difference in the excellent-good rate between the two groups(P>0.05).Conclusion The minimally invasive transverse incision with ovoid clamp-assisted needle passage suture is superior to the minimally invasive small incision modified suture technique in reducing intraoperative blood loss,shortening incision length and operation duration,and achieves better functional recovery at 3 months postoperatively.There are no significant differences between the two techniques in terms of foot alignment and the excellent-good rate of ankle joint function at 6 months postoperatively,and both are effective.However,the former enables faster recovery.关键词
急性闭合性跟腱断裂/缝合/疗效/微创Key words
acute closed Achilles tendon rupture/suture/efficacy/minimally invasive引用本文复制引用
朱慧颖,孙宁宁,齐巍巍..微创横切口卵圆钳辅助穿针缝合与微创小切口改良缝合法用于急性闭合性跟腱断裂的疗效比较[J].中国现代手术学杂志,2025,29(5):392-398,7.基金项目
2022年度河北省医学科学研究课题计划(20220328) （20220328）
