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題 名 | Results in Early Surgical Treatment of Spontaneous Achilles Tendon Rupture=跟骨腱斷裂的早期外科治療 |
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作 者 | 林柳池; 吳興盛; 李建和; 敖曼冠; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 29:2 民85.03-04 |
頁 次 | 頁126-131 |
分類號 | 416.26 |
關鍵詞 | 跟骨腱斷裂; 外科治療; Achilles tendon rupture; Surgical treatment; |
語 文 | 英文(English) |
中文摘要 | 28位病人在運動時跟骨腱受傷完全斷裂,其治療結果提出報告。跟骨腱 斷裂時病人正從事網拍運動計有花位,籃球運動有6位。受傷機轉都是運動時足 部極端背曲同時小腿後肌強力收縮造成跟骨腱瞬間承受甚大的張力。所有病患其 跟骨腱斷裂位置距離跟骨2~6公分。病人的症候包括疼痛、足部無法蹦曲。病患 皆呈現陽性Thompsontest及患處觸摸有一溝距。四分之三的病患年齡大於30歲。 斷裂前二例跟骨腱有酸痛病兆。所有跟骨腱修補術皆在傷後四星期內完成。手術 方法採取直接修補26例,兩例則施行腓腸肌腱瓣轉移術。術後傷口感染有3例, 24例完成追蹤檢查且皆沒發現再斷裂的病例。術後踝關節活動背曲平均失掉6 度、蹠曲5度。24例病患恢復運動功能,唯有4例無法達到受傷前的水準。跟骨腱 因運動造成的自動完全斷裂,早期診斷並無困難,若於受傷後四星期內能儘快的 施行手術直接縫合,可獲得滿意的治療結果。 |
英文摘要 | Results of early surgical treatment of 28 spontaneous ruptures of theAchilles tendon during various sports activities were evaluated. Fifteen ofthe 28 patients were injured in a racket activity. Six cases occurred duringbasketball playing. All of the rupture sites were in the tendon part, 2-6 cmabove the calcaneal bone. Seventy-five percent of the patients were in theirfourth decade or older. None had had a medical problem before injury, andonly two had experienced Achilles symptoms prior to the rupture. Allof the repairs were done within four weeks. Twenty-four patients werecontacted for follow-up (average, 26 months). Only three patients hadpostoperative minor wound problems. There was no rupture. Loss ofmotion was 6 ° in dosiflexion and 5° in plantar flexion, on the average. All24 patients had a return of function but 4 among them could not reachtheir preinjury level. Spontaneous rupture of the Achilles tendon with earlyrepair within a four weeks period showed satisfactory results. |
本系統中英文摘要資訊取自各篇刊載內容。