在阿基里斯肌上行走
Nicola Maffulli1,2,3, Filippo Spiezia4,5, Filippo Migliorini6,7
1Department of Trauma and Orthopaedic Surgery, Faculty of Medicine and Psychology, University La Sapienza, Piazzale Aldo Moro, Rome 00185, Italy.
British medical bulletin
|February 16, 2026
概括
修改后的"行走阿基里斯肌"技术提供了与传统修复阿基里斯肌破裂的结果相似的结果. 这种微创手术方法有效地解决了近端树干抓地带的挑战,而不会影响患者的结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 创伤学 创伤学 创伤学
背景情况:
- 穿皮修复阿基里斯肌破裂可能是具有挑战性的,因为近端茎的抓地力不足.
- "行走的阿基里斯肌"技术涉及创建额外的刺伤,以提高接的抓地力.
- 这种技术旨在促进在初始抓地力不足时的最小侵入性修复.
研究的目的:
- 为了比较"行走阿基里斯肌"技术的结果与阿基里斯肌破裂的传统 suture修复.
- 评估修改后的穿皮疗法对阿基里斯肌修复的疗效和安全性.
主要方法:
- 一项研究包括36名阿基里斯破裂的患者,分为两组:"在阿基里斯上行走"和"传统修复".
- "行走的阿基里斯肌"组使用了一种修改后的技术,使用额外的刺伤来改善抓地力.
- 通过使用各种措施评估结果,包括阿基里斯肌休息角度 (ATRA),阿基里斯肌全断裂得分 (ATRS) 和功能得分.
主要成果:
- 在ATRA,ATRS,小腿周长,同度强度,回归体育时间,欧洲脚协会 (EFAS) 评分或患者报告结果措施 (PROMs) 中,两组之间没有发现显著差异.
- 经过修改的技术,涉及9个刺伤,增加了较小的程序时间,但结果与7个刺伤技术相似.
- 穿皮治疗阿基里斯肌破裂带来了挑战,报告的结果各不相同.
结论:
- "行走的阿基里斯肌"技术有效地克服了在微创性皮肤穿刺阿基里斯肌修复过程中近接干的困难.
- 这种修改后的方法允许外科医生继续进行皮肤间修复,而无需使用开放式手术.
- 该研究表明,修改技术与传统修复方法之间的功能和患者报告结果相似.
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