| 改良跟腱内侧J形切口结合阔筋膜移植修复KuwadaⅡ和Ⅲ型跟腱缺损 |
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投稿时间：2020-11-05
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| 作者 | Author | 单位 | Address | E-Mail |
| 祁义民 |
QI Yi-min |
南京医科大学附属南京医院南京市第一医院骨科, 江苏 南京 210006 |
Department of Orthopedic, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, Jiangsu, China |
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| 杨蓊勃 |
YANG Weng-bo |
南京医科大学附属南京医院南京市第一医院骨科, 江苏 南京 210006 |
Department of Orthopedic, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, Jiangsu, China |
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| 蒋纯志 |
JIANG Chun-zhi |
南京医科大学附属南京医院南京市第一医院骨科, 江苏 南京 210006 |
Department of Orthopedic, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, Jiangsu, China |
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| 曾逸文 |
ZENG Yi-wen |
南京医科大学附属南京医院南京市第一医院骨科, 江苏 南京 210006 |
Department of Orthopedic, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, Jiangsu, China |
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| 吴磊 |
and WU Lei |
南京医科大学附属南京医院南京市第一医院骨科, 江苏 南京 210006 |
Department of Orthopedic, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, Jiangsu, China |
541977490@qq.com |
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| 期刊信息：《中国骨伤》2022年，第35卷，第1期，第11-14页 |
| DOI：10.12200/j.issn.1003-0034.2022.01.003 |
| 基金项目: |
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中文摘要:
目的：探讨改良跟腱内侧“J”形切口结合阔筋膜移植在治疗Kuwada Ⅱ和Ⅲ型跟腱缺损中的临床疗效。
方法：回顾性分析2016年1月至2018年8月采用改良跟腱内侧“J”形切口结合I期阔筋膜移植治疗的15例KuwadaⅡ和Ⅲ型跟腱缺损患者的临床资料，其中男14例，女1例；年龄24～43岁，平均31.7岁；Kuwada Ⅱ型9例，Ⅲ型6例。观察切口并发症情况，末次随访时采用Arner-Lindholm评分标准评价患足功能。
结果：15例均获得随访，时间3～16个月，平均9.2个月。术后无切口皮肤坏死及感染发生，无跟腱再断裂发生。根据Arner-Lindholm评分标准评定，优13例，良2例。
结论：采用改良跟腱内侧“J”形切口结合Ⅰ期阔筋膜移植治疗Kuwada Ⅱ和Ⅲ型跟腱缺损可避免术后切口并发症，可以双重加固跟腱强度，使患者可以早期康复功能锻炼，临床疗效满意。 |
| 【关键词】跟腱 阔筋膜 手术切口 手术后并发症 |
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| Repair of KuwadaⅡand Ⅲ Achilles tendon defects through modified medial J-shaped approach with autologous fascia lata transplantation |
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ABSTRACT
Objective: To investigate the clinical effect of modified medial J-shaped incision of Achilles tendon combined with fascia lata transplantation in the treatment of Kuwada typeⅡand Ⅲ Achilles tendon defects.
Methods: From January 2016 to August 2018,the clinical data of 15 patients with KuwadaⅡand Ⅲ Achilles tendon defects treated with modified J-shaped approach with autologous fascia lata transplantation were retrospectively analyzed,including 14 males and 1 female,with an average age of 31.7 years old ranging from 24 to 43. There were 9 cases of KuwadaⅡdefect and 6 cases of KuwadaⅢ defect. Postoperative observations were made for incision complications,and the Arner-Lindholm scoring standard was used to evaluate the function of the affected foot at the last follow-up.
Results: All 15 cases were followed up from 3 to 16 months with an average of 9.2 months. No skin necrosis or infection occurred after operation,and no Achilles tendon rupture occurred again. According to the Arner-Lindholm scoring standard,13 cases were excellent,2 cases were good.
Conclusion: Modified medial J-shaped incision is a satisfactory approach for repairing Achilles tendon defects. It is helpful to prevent postoperative incision complications,which double-strengthen the Achilles tendon strength,so that patients can perform early rehabilitation and functional exercises with satisfactory clinical results. |
| KEY WORDS Achilles tendon Fascia lata Surgical incision Postoperative complications |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 祁义民,杨蓊勃,蒋纯志,曾逸文,吴磊.改良跟腱内侧J形切口结合阔筋膜移植修复KuwadaⅡ和Ⅲ型跟腱缺损[J].中国骨伤,2022,35(1):11~14 |
| 英文格式: | QI Yi-min,YANG Weng-bo,JIANG Chun-zhi,ZENG Yi-wen,and WU Lei.Repair of KuwadaⅡand Ⅲ Achilles tendon defects through modified medial J-shaped approach with autologous fascia lata transplantation[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(1):11~14 |
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