PRBT治疗急性跟腱断裂的初步临床研究
Preliminary Clinical Study of PRBT in the Treatment of Acute Achilles Tendon Rupture
摘要: 目的：探讨PRBT (Panda rope bridge technique)治疗急性跟腱断裂的初步临床效果。方法：从2012年1月到2015年12月使用PRBT治疗16例急性跟腱患者。男15例，女1例；年龄30.31 ± 5.32岁；BMI 24.16 ± 2.74；均为单侧跟腱断裂，左侧6例，右侧10例；伤因是运动损伤(68.75%)和切割伤(31.25%)。记录术后负重行走、恢复工作和恢复运动的时间。术后9月进行功能评估，记录AOFAS踝–后足评分、ATRS评分。随访周期为两年，记录主观满意度和并发症。结果：随访2~4年，平均2.4年，没有发现严重并发症。4名患者报告受伤跟腱处有软组织粘连，但是踝关节活动范围未受明显限制。手术后9月，16名患者AOFAS踝–后足评分均为100分，ATRS评分为97.00 ± 1.86分。术后开始负重行走的平均时间为8.69天，重返工作的平均时间为48天，恢复伤前相同水平体育活动的平均时间为139天。结论：PRBT减少跟腱断裂手术治疗时软组织并发症风险，为组织愈合创造更佳的微环境，并使术后快速康复更加安全可靠。
Abstract: Objective: Panda rope bridge technique (PRBT) is set up to decrease complications and enhance re-covery in the treatment of the Achilles tendon ruptures. This case series is to evaluate the effective-ness of PRBT. Methods: From Jan 2012 through Dec 2015, PRBT was performed in treatments of 16 consecutive patients. There were 15 males and 1 female, the age was 30.31 ± 5.32 years, BMI 24.16 ± 2.74. All were unilateral Achilles tendon rupture, 6 cases on the left side, 10 cases on the right side. The injury was sports injury (68.75%) and cut injury (31.25%). Time for returning to weight bearing walk, work and pre-injury activities were recorded. Functional evaluation was performed 9 months after surgery, and the AOFAS and ATRS scores were recorded. Results: Patients have been followed up from 2 to 4 years; mean follow up was 2.4 years. No serious complication has been found. Four patients reported skin adhesions in effected tendons and but no patient had limitation of an-kle’s rang of motion. Nine months after the surgery, sixteen patients reported 100 AOFAS an-kle-hindfoot score points, the mean Achilles Tendon Total Rupture Score was 97.00, and all the pa-tients were satisfied with the novel surgery. The average time to begin weight-bearing walking was 8.69 days. The average time which patients returned back to work was 48 days. In the average time of 139 days, patients returned to their previous sport activity at the same or higher level. Conclusion: PRBT is reliable, adjustable, and safe for the early rehabilitation after Achilles tendon repair.
文章引用：牟嫄, 吴亚鸿, 王卓群, 刘文科, 万海民, 刁玉磊, 宗小锐, 尹良军. PRBT治疗急性跟腱断裂的初步临床研究[J]. 外科, 2019, 8(2): 29-35. https://doi.org/10.12677/HJS.2019.82006

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