Severe Functional Debilitations After Complications Associated With Acute Achilles Tendon Rupture With 9 Years of Follow-Up
Severe Functional Debilitations After Complications Associated With Acute Achilles Tendon Rupture With 9 Years of Follow-Up
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DOI：
10.1053/j.jfas.2017.01.004
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发表时间：
2017-05-01
影响因子：
1.3
通讯作者：
Troelsen, Anders
中科院分区：
文献类型：
--
作者：
Barfod, Kristoffer Weisskirchner;Sveen, Thor Magnus;Troelsen, Anders
本研究的目的是探讨深部感染、腓肠神经损伤和重复断裂治疗急性跟腱断裂的长期效果。 1992年至2010年间，共有324名患者因急性跟腱断裂并发症向丹麦患者保险协会提出索赔。 324 例患者中，119 例（36.7%）（77 例（64.7%）男性和 42 例（35.3%）女性）返回了跟腱总断裂评分和 36 项简短调查问卷。深部感染（n = 10）、腓肠神经损伤（n = 10）和重复破裂（n = 16）的患者参与了随访调查。平均随访期为 8.9 年（范围 3 至 21）年。跟腱总断裂平均得分为 49 +/- 27。36 项简表调查的身体成分和精神成分量表的总分分别为 43 +/- 11 和 52 +/- 11。深部感染、腓肠神经损伤或重复破裂的亚群之间没有发现显着差异。调查肌腱长度和足跟抬高工作的物理评估显示，重复断裂后受影响和未受影响的肢体之间存在统计学显着差异 (p < .01)，但在腓肠神经损伤 (p > .05) 或深度感染 (p > .05) 后则没有显着差异。总之，急性跟腱断裂后出现并发症的患者在平均随访 9 年时，跟腱总断裂评分和身体成分量表评分显着降低。重复断裂的患者肌腱显着伸长，受影响肢体的力量下降。 (C) 2017 年，美国足踝外科医生学会。版权所有。
The purpose of the present study was to investigate the long-term effect of deep infection, sural nerve injury, and repeat rupture in the treatment of acute Achilles tendon rupture. A total of 324 patients had made a claim to the Danish Patient Insurance Association from 1992 to 2010 for a complication after acute Achilles tendon rupture. Of the 324 patients, 119 (36.7%) (77 [64.7%] males and 42 [35.3%] females) returned the Achilles tendon total rupture score and the 36-item short-form survey questionnaires. Patients with deep infection (n = 10), sural nerve injury (n = 10), and repeat rupture (n = 16) participated in a follow-up investigation. The mean follow-up period was 8.9 (range 3 to 21) years. The mean Achilles tendon total rupture score was 49 +/- 27. The summary scores of the physical component and mental components scales of the 36-item Short Form Survey were 43 +/- 11 and 52 +/- 11, respectively. No significant differences were found among the subpopulations with deep infection, injury to the sural nerve, or repeat rupture. The physical evaluation investigating tendon length and heel rise work revealed a statistically significant difference between the affected and unaffected limb after repeat rupture (p < .01) but not after injury to the sural nerve (p > .05) or deep infection (p > .05). In conclusion, patients with from a complication after acute Achilles tendon rupture had a remarkable reduction of the Achilles tendon total rupture score and physical component scale score at mean follow-up point of 9 years. Patients with repeat rupture had a significant elongation of the tendon and reduction of strength in the affected limb. (C) 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.