摘要
【目的】探讨应用韧带增强重建系统（ligament advanced reinforcement system，LARS）治疗跟腱术后再断裂的手术方法及临床疗效。【方法12006年6月至2011年2月，对收治的跟腱术后二次断裂患者13例，采用LARS人工韧带加强修复，并辅以早期功能康复锻炼。术后按Arner—lindholm标准评定临床疗效。【结果】术后切口均一期愈合。13例平均随访28（12～48）个月。按Arner-lindholm踝关节功能评定标准：优12例，良1例，优良率100％。随访期间未发生跟腱再断裂及深部感染等并发症。患者术后8～10周恢复日常生活，术后3～4个月回归伤前职业。【结论】应用LARS治疗跟腱术后二次断裂临床效果满意。LARS可提供永久性纤维支架，加强断裂跟腱的强度及韧性，患者可早期康复功能锻炼，恢复快，术后并发症少，是一种安全、有效的治疗方法。
[Objective]To explore the surgical method and clinical efficacy of ligament advanced reinforcement system（LARS） for the treatment of re-rupture after surgery of achilles tendon. [Methods]Thirteen patients with achilles tendon re-rupture after operation from June 2006 to Feb. 2011 underwent the reinforcement repair by using LARS artificial ligament and were assisted with early rehabilitation training. According to Ar- ner-lindholm score criteria, Clinical efficacy was assessed after operation. [Results]All incisions after operation healed by first intention. Thirteen patients were followed up for 12~48 m0nths（mean 28 months）. According to Arner-lindholm ankle joint rating criteria, 12 patients were excellent and 12 patients were good, and the ex- cellent and good rate was 100%. No re-rupture and deep infection occurred during follow-up period. Patients could return to daily life within 8~ 10 weeks after operation, and regain former career 3~4 months after oper- ation. [Conclusion]The clinical efficacy of LARS for the treatment of achilles tendon re-rupture is satisfactory. LARS can provide permanent fiber scaffold and strengthen the intensity and toughness of achilles tendon. It is a safe and effective method with early rehabilitation training, rapid recovery and less complications.
出处
《医学临床研究》
CAS
2012年第10期1864-1866,共3页
Journal of Clinical Research
关键词
跟腱
外科学
韧带
Achilles tendon/SU
ligament
