Clinical effects of suture anchor tenodesis in repairing acute closed distal achilles tendon injuries
ZHU Yu-hui1 LYU You2 LIANG Xian-dan1 DU Wei2 WANG Hong-jia2
1.Department of Hand and Foot Surgery,Jihua Group Hospital of Jilin City,Jilin Province,Jilin 132021,China;
2.Department of Orthopaedics,Group Hospital of Jilin City,Jilin Province,Jilin 132021,China
Abstract：Objective To explore the effect of suture anchors in the treatment of acute closed distal acholles tendon injuries.Methods Clinical date of 25 cases treated with suture anchor tenodesis in our hospital from January 2012 to March 2015 were retrospectively analyzed.The operation was performed,with the suture anchors to reconstruct the achilles tendon insertion,and the Krachow technique was used to suture the achilles tendon.The situation of the wound healing,heel pain,and achilles tendon re-rupture were observed and analyzed during the follow-up.According to passive range of motion of bilateral ankle joint,the American orthopaediac foot and ankle society (AOFAS)score was wsed to assesse the function of ankle joint 18 months after operation.Results All patients were followed up for 16-36 months, the wound healed well,without complication such as infection,skin necrosis.There was no significant difference in mean passive plantar flexion between injured ankles and contralateral ankles 18 months after operation [(42.20±3.33)°vs. (41.00±4.63)°,P>0.05],whereas dorsiflexion range was less than the contralateral side[(15.68±4.10)°vs.(21.12±3.01)°,P< 0.05].AOFAS rating 80-100 points,the average was (91.5±4.6)points.26 cases of excellent,4 cases of good.Conclusion The short-term effect of sutre anchers repairing the acute closed distal achilles tendon injuries is good.
Schneider W，Jurenitsch S.Normative data for the American Orthopedic Foot and Ankle Society ankle-hindfoot，midfoot，hallux and lesser toes clinical rating system[J].Int Orthop，2016，40（2）：301-306.
[5]
Tejwani NC，Lee J，Weatherall J，et al.Acute Achilles tendon ruptures：a comparison of minimally invasive and open approach repairs followed by early rehabilitation[J].Am J Orthop（Belle Mead NJ），2014，43（10）：E221-E225.
[7]
Jung HG，Lee KB，Cho SG，et al.Outcome of achilles tendon ruptures treated by a limited open technique[J].Foot Ankle Int，2008，29（8）：803，807.
McMahon SE，Smith TO，Hing CB.A meta-analysis of randomized controlled trials comparing conventional to minimally invasive approaches for repair of an Achilles tendon rupture[J].Foot Ankle Surg，2011，17（4）：211-217.
[10]
Kearney RS，Costa ML.Current concepts in the rehabilitation of an acute rupture of the tendo Achillis[J].J Bone Joint Surg Br，2012，94（1）：28-31.
[11]
Trickett RW，hodgson P，Lyons K，et al.Effect of knee position on gap size following acute Achilles rupture[J].Foot Ankle Int，2011，32（1）：1-4.
[12]
Wray WH 3rd，Regan C，Patel S，et al.Positional effects of the knee and ankle on the ends of acute Achilles tendon ruptures[J].Foot Ankle Spec，2009，2（5）：214-218.
[13]
Beavis RC，Rourke K，Court-Brown C.Avulsion fracture of the calcaneal tuberosity：a case report and literature review[J]. Foot Ankle Int，2008，29（8）：863-866.
[14]
Kilicoglu O，Turker M，Yildiz F，et al.Suture anchor tenodesis in repair of distal Achilles tendon injuries[J].Eur J Orthop Surg Traumatol，2014，24（1）：117-122.
[15]
Schonberger TJ，Janzing HM，Morrenhof JW，et al.Operative treatment of acute Achilles tendon rupture：open endto-end reconstruction versus reconstruction with Mitekanchors[J].Acta Chir Belg，2008，108（2）：236-239.
京公网安备 11010502046607号