微创带线铆钉治疗急性闭合性跟腱断裂的临床研究(2)
经皮微创带线铆钉治疗急性新鲜闭合性跟腱断裂是一种安全、微创的手术方法,它具有操作简单、手术创伤小、时间短而且固定可靠、有重建骨骼-肌腱缝合系统作用及良好生物相容性,易于推广,同时具有早期功能恢复的优点。但本研究也存在不足,随访时间不够长,样本量不够大,因此对于经皮微创带线铆钉治疗急性新鲜闭合性跟腱断裂的远期疗效尚不清楚。同时我们认为最好采用完全随机设计的方法,对保守治疗、传统方法及经皮微创带线铆钉治疗急性闭合性跟腱断裂的治疗结果进行比较,以找出治疗急性闭合性跟腱断裂的最好方法。
参考文献
[1] Leppilahti J,Puranen J,Orava S.Incidence of Achilles tendon rupture[J].Acta Orthop Scandinavica,1996,67(3):277-279.
[2] Movin T, Ryberg A, McBride D J,et al.Acute rupture of the Achillies tendon[J].Foot Ankle Clin,2005,10(2):331-356.
, 百拇医药
[3]梁小军,赵宏谋,李毅,等.微创手术与传统手术治疗急性跟腱断裂的比较研究[J].中国骨与关节损伤杂志,2013,6(5):438-441.
[4] Khazen G E,Wilson A N, Ashfaq S,et al.Fixation of calcaneal avulsion fractures using screws with and without suture anchor:a biomechanical investigation[J].Foot Ankle Int,2007,28(2):1183-1186.
[5] Arner O,Lindholm A.Subcutaneous rupture of the Achilles tendon:a study of 92 cases[J].Acta Chir Scand,1959,116(3):1-51.
[6] Bhattacharyya M, Gerber B.Mini-invasive surgical repair of the Achilles tendon-does it reduce post-operative morbidity[J].Int Orthop,2009,33(4):151-156.
, 百拇医药
[7] Lansdaal J R, Goslings J C,Reichart M,et al.The results of 163 Achilles tendon ruptures treated by a minimally invasive surgical technique and functional aftertreatment[J].Injury,2007,38(7):839-844.
[8] Gigante A, Moschini A, Verdenelli A,et al.Open versus percutaneous repair in the treatment of acute Achilles tendon rupture:a randomized prospective study[J].Knee Surg Sports Traumatol Arthrosc,2008,16(2):204-209.
[9] Hanna J R,Russell R D,Giacopelli J A,et al.Repair of distal tendo Achillis rupture with the use of the Mitek anchor system[J].Am Podiatr Med Assoc,1993,83(2):663-668.
, 百拇医药
[10] Zandbergen R A,De Boer S F, Swierstra B A.Surgical treatment of achilles tendon rupture: examination of strength of 3 types of suture techniques in a cadaver model[J]. Acta Orthop,2005,76(1):408-411.
[11] Saxena A,Maffulll N,Nguyen A,et al.Wound complications from surgeries pertaining to the Achilles tendon:an analysis of 219 surgeries [J].J Am Podiatr Med Assoc,2008,98(2):95-101.
[12] Janis L, Lam A T, Espiritu T.A comparison of soft-tissue anchors in tendon achilles reattachment[J].J Foot Ankle Surg,2001,40(4):195-207.
(收稿日期:2014-05-09) (编辑:程旭然), 百拇医药(张雄军 吴彬 李国湘 吴敦辉)
参考文献
[1] Leppilahti J,Puranen J,Orava S.Incidence of Achilles tendon rupture[J].Acta Orthop Scandinavica,1996,67(3):277-279.
[2] Movin T, Ryberg A, McBride D J,et al.Acute rupture of the Achillies tendon[J].Foot Ankle Clin,2005,10(2):331-356.
, 百拇医药
[3]梁小军,赵宏谋,李毅,等.微创手术与传统手术治疗急性跟腱断裂的比较研究[J].中国骨与关节损伤杂志,2013,6(5):438-441.
[4] Khazen G E,Wilson A N, Ashfaq S,et al.Fixation of calcaneal avulsion fractures using screws with and without suture anchor:a biomechanical investigation[J].Foot Ankle Int,2007,28(2):1183-1186.
[5] Arner O,Lindholm A.Subcutaneous rupture of the Achilles tendon:a study of 92 cases[J].Acta Chir Scand,1959,116(3):1-51.
[6] Bhattacharyya M, Gerber B.Mini-invasive surgical repair of the Achilles tendon-does it reduce post-operative morbidity[J].Int Orthop,2009,33(4):151-156.
, 百拇医药
[7] Lansdaal J R, Goslings J C,Reichart M,et al.The results of 163 Achilles tendon ruptures treated by a minimally invasive surgical technique and functional aftertreatment[J].Injury,2007,38(7):839-844.
[8] Gigante A, Moschini A, Verdenelli A,et al.Open versus percutaneous repair in the treatment of acute Achilles tendon rupture:a randomized prospective study[J].Knee Surg Sports Traumatol Arthrosc,2008,16(2):204-209.
[9] Hanna J R,Russell R D,Giacopelli J A,et al.Repair of distal tendo Achillis rupture with the use of the Mitek anchor system[J].Am Podiatr Med Assoc,1993,83(2):663-668.
, 百拇医药
[10] Zandbergen R A,De Boer S F, Swierstra B A.Surgical treatment of achilles tendon rupture: examination of strength of 3 types of suture techniques in a cadaver model[J]. Acta Orthop,2005,76(1):408-411.
[11] Saxena A,Maffulll N,Nguyen A,et al.Wound complications from surgeries pertaining to the Achilles tendon:an analysis of 219 surgeries [J].J Am Podiatr Med Assoc,2008,98(2):95-101.
[12] Janis L, Lam A T, Espiritu T.A comparison of soft-tissue anchors in tendon achilles reattachment[J].J Foot Ankle Surg,2001,40(4):195-207.
(收稿日期:2014-05-09) (编辑:程旭然), 百拇医药(张雄军 吴彬 李国湘 吴敦辉)