应用林恩法修复急性跟腱断裂

Tolga Tolunay, Ahmet Onur Akpolat, Arslan Kağan Arslan, Rahmi Yavuz Önem, Erkan Akgün
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引用次数: 0

摘要

目的:评价林恩法在急性跟腱断裂开放性一期修复中的疗效。方法:对19例急性跟腱断裂采用Lynne法治疗的患者资料进行分析。平均随访时间为12.3个月(8-15个月)。所有患者的优势侧均为右侧,且均为男性。采用改良Kessler缝合技术端对端修复后行跖腱增强术。结果:术后平均AOFAS评分(美国骨科足踝学会后足临床结局评分)为93.5分(范围82-100)。Thermann及其同事制定的跟腱术后评估评分平均为93.3分。两项评估得分都在90-100之间,被评为非常好。所有患者均无术后伤口感染。所有患者汤普森试验均为阴性,双侧运动强度为5/5。结论:林恩法是急性跟腱断裂治疗方案中应考虑的一种方法,尤其适用于年轻、活跃的患者。
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Akut Aşil tendon yirtiklarinin Lynn yöntemi ile tamiri Repair of acute Achilles tendon ruptures using Lynn method
Objectives: Efficiency assessment of Lynn method on open primary repair of acute Achilles tendon ruptures. Methods: Data were evaluated from 19 patients who treated with the Lynne method due to acute Achilles tendon rupture. Average follow-up length was 12.3 months (range 8-15 months). Dominant side was the right side by all patients and all patients were males. Plantaris tendon augmentation was applied after end-to-end repair by modified Kessler suture technique. Results: The mean postoperative AOFAS score (The American Orthopaedic Foot and Ankle Society hindfoot clinical outcome scores) was 93.5 (range 82-100). The average of Achilles tendon postoperative assessment score, as developed by Thermann and colleagues, was 93.3. Both assessment scores were between 90-100 and were evaluated as very good. None of the patients developed post-operative wound infection. The Thompson test was negative on all patients and bilateral motor strength was 5/5. Conclusion: Lynn method, especially in young and active patients with acute Achilles tendon rupture is a method that should be considered in treatment protocols.
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审稿时长
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