Repair of Chronic Achilles Tendon Rupture with Flexor Hallucis Longus Tendon Transfer

Repair of Chronic Achilles Tendon Rupture with Flexor Hallucis Longus Tendon Transfer
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DOI:
10.1177/107110079301400803
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发表时间:
1993-10
影响因子:
2.7
通讯作者:
K. Wapner;G. S. Pavlock;P. Hecht;F. Naselli;R. Walther
K. Wapner;G. S. Pavlock;P. Hecht;F. Naselli;R. Walther
中科院分区:
医学2区
文献类型:
--
作者:
K. Wapner;G. S. Pavlock;P. Hecht;F. Naselli;R. Walther

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介绍了一种新的技术,用于重建慢性跟腱断裂使用屈拇长肌腱。提供了对7名患者(平均年龄52岁)的随访(平均随访17个月,范围3-30个月)。对所有患者进行重新检查,以评估术后活动度、瘢痕愈合和感觉。通过Cybex测试评估运动强度。主观满意度进行了调查问卷的完成。无术后感染、皮肤缺损或再破裂。每个病人都出现了一个小的,但功能不显著的损失,在活动范围内涉及踝关节和大脚趾。所有患者均获得满意的功能恢复。一名患者需要一个成型的脚踝矫形器延长amphilia,但能够打高尔夫球。
A new technique is described for reconstruction of chronic Achilles tendon rupture using the flexor hallucis longus tendon. Follow-up on seven patients (mean age 52 years) is provided (average follow-up 17 months, range 3–30 months). All patients were re-examined to assess postoperative range of motion, scar healing, and sensation. Motor strength was assessed by Cybex testing. Subjective satisfaction was examined by completion of a questionnaire. There were no postoperative infections, skin losses, or re-ruptures. Each patient developed a small but functionally insignificant loss in range of motion in the involved ankle and great toe. All patients had a satisfactory return of function. One patient required a molded foot-ankle orthosis for extended ambulation but was able to play golf.