目的:评价慢性跟腱断裂患者术后1年的预后。
方法:手术治疗慢性跟腱断裂的患者(n=22,男14,女8,平均年龄61±15)通过跟腱总断裂评分评估,身体活动量表,脚部和踝部结果评分,小腿肌肉耐力测试,反移动跳跃,跳跃,超声测量肌腱长度,跟腱静止角,背屈运动范围和小腿肌围。将受伤侧的肌肉功能和肌腱长度结果与健康侧进行比较。
结果:患者跟腱断裂总评分平均为62±26分。与健康侧相比,受伤侧的中位数得分较低(20对24厘米,p=0.004),上升高度(8对10厘米,p<0.001),鞋跟上升总功(872对1590焦耳,p<0.001)和跳跃比(0.37vs0.48,p=0.005)。小腿中位数较小(37vs38厘米,p=0.001),受伤侧的平均肌腱伸长率更大;跟腱静止角(55vs50°,p<0.001)和超声(22.4vs20.5cm,p=0.006)。
结论:术后一年,慢性跟腱断裂患者的主观足和踝关节功能持续受限.鞋跟上升高度和总功以及跳跃率没有恢复,与健康肌腱相比,受伤的跟腱伸长。
方法:IV.
OBJECTIVE: Evaluate the one-year postoperative outcomes in patients with Chronic Achilles tendon rupture.
METHODS: Patients surgically treated for Chronic Achilles tendon rupture (n = 22, 14 males and 8 females, mean age 61 ± 15) were evaluated by Achilles tendon Total Rupture Score, The Physical Activity Scale, The Foot and Ankle Outcome Score, Calf muscle endurance test, counter movement jump, Hopping, ultrasound measurement of tendon length, Achilles Tendon Resting Angle, dorsi flexion range of motion and calf muscle circumference. Muscle function and tendon length outcomes on the injured side were compared with the healthy side.
RESULTS: The patients scored a mean of 62 ± 26 on the Achilles tendon Total Rupture Score. Median scores on the injured compared with the healthy side were lower in heel-rise repetitions (20 vs 24 cm, p = 0.004), hel-rise height (8 vs 10 cm, p < 0.001), heel-rise total work (872 vs 1590 joule, p < 0.001) and hopping ratio (0.37 vs 0.48, p = 0.005). Median calf circumference was smaller (37 vs 38 cm, p = 0.001) and the mean tendon elongation greater on the injured side; Achilles tendon resting angle (55 vs 50°, p < 0.001) and ultrasound (22.4 vs 20.5 cm, p = 0.006).
CONCLUSIONS: At one year postoperatively, patients with chronic Achilles tendon rupture reported persistent limitations in subjective foot and ankle function. Heel-rise height and total work as well as hopping ratio were not recovered, and there was an elongation of the injured Achilles tendon compared with the healthy tendon.
METHODS: IV.