跟腱条结合带线铆钉重建腓骨肌支持带治疗腓骨肌腱滑脱症

摘要

Objective To evaluate the clinical outcome of reconstruction of the superior peroneal retinaculum (SPR) by using a portion of Achilles’s tendon and suture anchors in the treatment of chronic peroneal tendon dislocation .Methods Seven patients in our hospital from January 2010 to January 2015 who underwent surgical reconstruction of SPR by using a portion of Achilles ’ s tendon and suture anchors were evaluated .The ankle ’ s range of motion ( ROM) and The American Orthopaedic Foot and Ankle Society ( AOFAS) ankle-hindfoot score were used to evaluate the clinical outcome .Results All 7 cases were followed up for 6 to 24 months,the average time was 14 months,with-out recurrence.The ankle’s ROM improved from (23.6 ±1.9) °preoperative to (30.0 ±1.5) °at the final follow-up,and the AOFAS An-kle Hindfoot Scale improved from (60.6 ±3.6) point preoperative to (93.6 ±3.9) point at the final follow-up.Conclusion Surgical re-construction of SPR by using a portion of Achilles ’ s tendon and suture anchors may be an effective alternative surgical method for chronic peroneal tendon dislocation .%目的：探讨跟腱条结合带线铆钉重建腓骨肌支持带治疗慢性腓骨肌腱滑脱症的临床疗效。方法回顾性分析2010年1月至2015年1月我科7例采用跟腱条结合带线铆钉重建腓骨肌支持带治疗慢性腓骨肌腱滑脱症的患者资料，记录术前及术后踝关节活动度，并采用美国矫形足踝协会（ AOFAS）踝与后足主观评分标准评定踝关节功能。结果7例患者均获术后随访6～24个月，平均随访14个月，所有病例术后均未复发。踝关节活动度从术前的（23．6±1．9）°恢复到末次随访的（30．0±1．5）°， AOFAS评分从术前的（60．6±3．6）分恢复至末次随访时的（93．6±3．9）分。结论采用跟腱条结合带线铆钉重建腓骨肌支持带治疗慢性腓骨肌腱滑脱症具有良好的临床疗效，是手术治疗慢性腓骨肌腱滑脱症的有效方法之一。