Application of internal fixation of steel-wire limited loop in early Achilles tendon rupture
Asian Pacific Journal of Tropical Medicine
; (12): 902-907, 2013.
Article
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| ID: wpr-819758
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ABSTRACT
OBJECTIVE@#To explore the clinical effect and safety of internal fixation of steel-wire limited loop in early Achilles tendon rupture.@*METHODS@#Seventy-six patients respectively with early transected and avulsed types of Achilles tendon rupture were selected and treated with internal fixation of steel-wire limited loop. The patients began to take exercise for their lower limbs through continous passive motion as early as possible after surgical repair, and the loops were removed after 3-5 months. Six months later, the condition of complications including Achilles tendon re-rupture, wound fistula, wound infection and skin necrosis, cutaneous sensation in sural nerve dominance region, time back to preinjury work or learning as well as time to physical activities were observed. One year later, the therapeutic effect was evaluated, and the maximum circumferences of bilateral legs and ruptured plane circumferences of Achilles tendon were measured.@*RESULTS@#The wound of all patients healed well, no complications like Achilles tendon re-rupture, wound fistula, wound infection and skin necrosis occured, and the cutaneous sensation in sural nerve dominance region was normal. The mean time back to preinjury work or learning as well as to pysical activities of all patients were respectively 10 and 22 weeks. Seventy out of 76 patients (92.1%) achieved an excellent effect, and 6 (7.9%) good effect. The excellent and good rate came up to 100%. The maximum circumference in the affected leg decreased to 2 mm averagely compared with the offside, while the ruptured plane circumferences of Achilles tendon in the affected side increased to 2.2 mm compared with the offside.@*CONCLUSIONS@#For early Achilles tendon rupture, internal fixation of steel-wire limited loop can recover the ankle function better, return to the preinjury state in the shortest time, and has few complications.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Rupture
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Tendon calcanéen
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Acier
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Chirurgie générale
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Traumatismes des tendons
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Résistance à la traction
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Plaies et blessures
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Indice de gravité de la maladie
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Études de suivi
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Amplitude articulaire
Type d'étude:
Observational_studies
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Prognostic_studies
Limites du sujet:
Adolescent
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Adult
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Female
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Humans
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Male
langue:
En
Texte intégral:
Asian Pacific Journal of Tropical Medicine
Année:
2013
Type:
Article