目的：探讨应用S形切口改良双Kessler缝合法治疗新鲜跟腱断裂的临床疗效。方法2012年1月至2015年12月我院共收治21例新鲜跟腱断裂患者，所有患者均于受伤后7 d内（平均4．1 d）采用S形切口改良双Kessler缝合法修复并进行术后随访，观察患者术后并发症发生情况，采用Arner-Lindholm评分标准评定疗效。结果21例患者均接受术随访，随访时间6～24个月（平均12个月）。术后均无切口感染、坏死等并发症发生，无跟腱再断裂。 Arner-Lindholm评分标准评定：优16例，良5例，优良率为100％。结论应用S形切口改良双Kessler缝合法治疗新鲜跟腱断裂能为断裂跟腱提供强大的应力，有利于早期功能锻炼，临床疗效满意。%Objective To explore the clinical effect of the treatment for fresh achilles tendon rupture by modified double Kessler suture with S type incision .Methods Totally 21 cases of fresh achilles tendon rupture were admitted into our hospital from January 2012 to Decem-ber 2015, and they were treated by S type incision modified double Kessler suture within 7 days (averagely 4.1 days).Observed the postop-erative complications and evaluated the efficacy with Arner-Lindholm.Results All the 21 patients were followed for 6 to 24 months ( aver-agely 12 months).There was no incision infection ,necrosis, re-fracture of achilles tendon and other complications .There were 16 cases of excellent and 5 cases of good , with the excellent and good rate of 100% through the Arner-Lindholm evaluation criteria .Conclusion Modified double Kessler suture with S incision for the treatment of fresh achilles tendon rupture is conducive to early functional exercise ,and it can obtain satisfactory clinical efficacy .
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