Modified Percutaneous Achilles Tendon Lengthening by Triple Hemisection for Achilles Tendon Contracture
المؤلفون المشاركون
Lin, Yangjing
Yang, Liu
Cao, Jin
Zhang, Changgui
Duan, Xiaojun
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-11-07
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
Both percutaneous Achilles tendon lengthening by triple hemisection and the traditional open Z-lengthening are effective methods for Achilles tendon contracture.
This study aims to evaluate the efficacy and safety of this new therapeutic method, which is based on the percutaneous sliding technique with three hemi-cuts in the tendon, as compared with the traditional open Z-lengthening.
Methods.
Retrospective analysis of the Achilles tendon contracture cases in our hospital between January 2010 and September 2016 was conducted.
Twenty-five cases received percutaneous Achilles tendon lengthening (group A), and 30 patients who underwent open Z-lengthening during the same period were in the control group (group B).
Operative time and hospital stay were statistically analyzed.
Incision complication, equinus recurrence rate and Achilles tendon rupture morbidity were recorded.
The function was assessed by American Orthopaedic Foot & Ankle Society (AOFAS) score.
All cases in group A received Magnetic Resonance Imaging (MRI) of ankle preoperatively and in the follow-ups.
Results.
The mean follow-up period was 42.04 months in group A and 61.7 months in group B.
The entire operative time and the mean hospitalization days were lower in group A than in group B.
No incision and infection complication occurred in group A.
The infection rate in group B was 3.3%.
Equinus recurrence rate was 4% in group A and the equinus recurrence rate in group B was 21.4%.
In group A, the mean AOFAS score increased from 64 ± 10.16 points preoperatively to 96.08 ± 3.17 at final follow-up, while the score in group B increased from 63.48 ± 6.2 points to 85.4 ± 10.3.
MRI showed continuity of the Achilles tendon and homogeneous signal in group A.
Conclusion.
Modified surgery can significantly reduce the risk of Achilles tendon rupture, provide better balance in soft tissue strength between ankle dorsiflexion and ankle plantarflexion, helping to avoid recurrence of the deformity.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Lin, Yangjing& Cao, Jin& Zhang, Changgui& Yang, Liu& Duan, Xiaojun. 2019. Modified Percutaneous Achilles Tendon Lengthening by Triple Hemisection for Achilles Tendon Contracture. BioMed Research International،Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1123392
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Lin, Yangjing…[et al.]. Modified Percutaneous Achilles Tendon Lengthening by Triple Hemisection for Achilles Tendon Contracture. BioMed Research International No. 2019 (2019), pp.1-8.
https://search.emarefa.net/detail/BIM-1123392
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Lin, Yangjing& Cao, Jin& Zhang, Changgui& Yang, Liu& Duan, Xiaojun. Modified Percutaneous Achilles Tendon Lengthening by Triple Hemisection for Achilles Tendon Contracture. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1123392
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1123392
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر