TwinFix带线锚钉辅助改良Kessler法修补陈旧性跟腱断裂

目的 探讨TwinFix带线锚钉辅助改良Kessler法修补陈旧性跟腱断裂的临床疗效.方法 采用TwinFix带线锚钉辅助改良Kessler法修补陈旧性跟腱断裂患者11例,术中用改良Kessler法对位缝合跟腱断端,再用2枚TwinFix带线锚钉辅助固定断裂跟腱.术后予患侧下肢屈膝90°、踝跖屈30°位长腿石膏托固定,3周后改踝跖屈石膏托固定.结果 11例均获随访,时间3～18个月.患者均未发生切口延期愈合、感染、皮肤坏死和跟腱再断裂等并发症.采用Arner-Lindholm评分标准评价疗效:优7例,良3例,差1例.结论 TwinFix带线锚钉辅助改良Kessler法手术操作简便,是修补陈旧性跟腱断裂的有效方法.

TwinFix suture anchor and modified Kessler technique for repair of the old rupture of Achilles tendon

Objective To evaluate the clinical efficacy of using TwinFix suture anchors and modified Kessler technique to repair the old rupture of Achilles tendon.Methods 11 patients with the old rupture of Achilles tendon were treated by TwinFix suture anchors and modified Kessler technique.The tendon stumps were sutured with modified Kessler technique first,and then auxiliary TwinFix suture anchors were used to repair the tendons.After operation,the lower limb were immobilized with long plaster slab(knee flexion 90°and ankle flexion 30°).Another short plaster slab(ankle flexion)was used after 3 weeks.Results All patients were followed up for 3 months to 18 months.None of cases happened delayed healing of wound,infection,necrosis of skin and re-rupture of Achilles tendon.According to Arner-Lindholm score criteria,the results were excellent in 7 cases,good in 3,and poor in 1.Conclusions The using of TwinFix suture anchor and modified Kessler technique is a good method for repairing the old rupture of Achilles tendon.