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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 |
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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.
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