Outcome and Prognostic Factors of Achilles Rupture Repair Using a New Scoring Method
Outcome and Prognostic Factors of Achilles Rupture Repair Using a New Scoring Method
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使用新评分方法进行跟腱断裂修复的结果和预后因素
DOI：
10.1097/00003086-199801000-00022
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发表时间：
1998
影响因子：
4.2
通讯作者：
S. Orava
中科院分区：
文献类型：
--
作者：
J. Leppilahti;Kari Forsman;J. Puranen;S. Orava
对101例闭合性跟腱断裂患者(男86例，女15例)进行了临床评分，包括症状的主观评定、踝关节活动范围的评定以及踝关节足底屈曲和背屈力量的等速测量。21名患者是竞技运动员，70名患者是休闲运动员。81%的破裂与运动有关，32%的破裂发生在打排球时。26例患者既往有跟腱症状。术后平均3.1年随访，优34例，良46例，可17例，差4例。只有年龄是总体结果的预测因素。等速肌力评分：优或良72例，可18例，差11例。全身疾病、活动水平、既往跟腱症状及以后恢复运动是预测力量效果的因素。性别、体重、身高、距断裂至手术的时间、外科医生、断裂部位、手术方法、并发症以及随访时跟腱的厚度、宽度和面积与预后无关。
A new clinical scoring system, including subjective assessment of symptoms and evaluation of ankle range of motion and isokinetic measurement of ankle plantar flexion and dorsiflexion strengths, is presented in 101 patients (86 men, 15 women) who had repair of a closed Achilles tendon rupture. Twenty-one patients were competitive athletes and 70 were recreational athletes. Eighty-one percent of the ruptures were related to sports, and 32% occurred while playing volleyball. Twenty-six patients had previous Achilles tendon symptoms. At followup, an average of 3.1 years after repair, the overall result scores were excellent in 34 cases, good in 46, fair in 17, and poor in four. Only age was a predictor of overall results. The isokinetic strength scores were excellent or good in 72 cases, fair in 18, and poor in 11. Presence of systemic diseases, activity level, previous Achilles tendon symptoms, and later return to physical exercise were predictors of strength results. Gender, body weight, height, period between rupture and operation, surgeon, rupture site, operative method, complications, and thickness, width, and area of the Achilles tendon at followup were not related significantly to the outcome.