陈旧性跟腱止点断裂骨隧道钛缆固定治疗1例

Abstract

陈旧性跟腱断裂是常见运动损伤疾病，多采用手术治疗。作者报道了一例43岁的男性患者，因“摔伤致左侧足跟部疼痛，乏力9月余”入院。入院时患者生命体征平稳，左侧足跟部轻度肿胀，压痛(+)，Thompson试验(±)，提踵试验(±)，足背动脉搏动可，充分的术前准备后行左侧陈旧性跟腱止点断裂钛缆Krackow法缝合，经跟骨骨隧道固定术，手术顺利，术后长腿石膏管形固定，定期换药，指导功能康复，早期出现缝线反应，随访半年，Arner-lindholm评定为良，未发生再断裂、下肢深静脉血栓及深部感染的并发症。 Old rupture of Achilles tendon is a kind of common athletic injuries and usually prefers surgical treatment. The author reported a 43-year-old male patient with fall-induced left heel pain for more than 9 months. At the admission to hospital, the patient was evaluated with stable vital signs, mild swelling at left heel, pressing pain (+), Thompson test (±), heel raising (±) and good arteriopalmus of foot. After the well surgical preparation, the left old rapture of Achilles tendon was sutured by titanium Krachow method, supported by Calcaneal bone tunnel fixation. The operation was finished successfully. After the operation, the patient was offered with long-leg tubular plaster, regular dressing change and mentoring functional rehabilitation. Suture reaction was observed during the early stage. The half-year follow-up visit reported good Arner-lindholm assessment without complications like palindromic rapture, deep venous thrombosis of legs and deep infection.