Objective To find an effective operative method for acute rupture of the Achilles tendon and to discuss its treament result. Methods A modified Lindholm turndown gastrocnemius fascia flap technique was designed. 45 cases of acute Achilles ruptures operated upon this modified Lindholm technique were retrospectively included in this study. The achilles tendon stumps was repaired with the Kessler suture. Two 0. 5 cm X 7 cm turndown gastrocnemius fascia flaps were dissected and made into membrane to wrap and repair the Achilles tendon ends, recovering its shape. Results There was no complication of infection, wound necrosis, sural nerve injury and tendon rerupture. All the patients were followed up for 12 to 20 months. At one-year follow-up, the treatment result was evaluated with Amer-Lindholm rating scale as excellent in 43 cases, good in 2 cases. Conclusions This modified Lindholm technique is an effective method to repair and enhance the acute Achilles tendon ruptures.%目的 探讨治疗急性跟腱断裂的手术方法及疗效.方法 对Lindholm腓肠肌倒转腱膜瓣加强修复跟腱断裂术进行改良,修复45例急性跟腱断裂.用Kessler法缝合跟腱断端,改良术中切取大小为0.5 cm×7 cm 2条腓肠肌腱膜瓣,预制成腱膜片后倒转包裹修复跟腱缝合端,恢复外形.结果 术后无感染、切口坏死、腓肠神经损伤及跟腱再断裂等并发症,跟腱修复处外形良好.患者均获随访,时间12~20个月.术后1年根据Arner-Lindholm评定标准评价治疗效果:优43例,良2例.结论 改良Lindholm腓肠肌倒转腱膜瓣是加强修复急性跟腱断裂的有效手术方法.
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