踇长屈肌腱转位联合腓肠肌腱膜V-Y延长治疗陈旧性跟腱缺损范洪进陈磊韩清銮张波韩明通(济宁医学院附属医院济宁272100)摘要目的探讨踇长屈肌腱转位联合腓肠肌腱膜V-Y延长治疗陈旧性跟腱缺损5cm以上的手术方法及效果。方法应用踇长屈肌腱转位联合腓肠肌腱膜V-Y延长治疗陈旧跟腱缺损5cm以上患者14例,采用采用美国足踝外科协会(AmericanOrthopaedicFootandAnkleSociety,AOFAS)踝与后足评分和视觉模拟法(VisualAnalogueScale,VAS)疼痛评分系统对患者进行评估,通过对患者术前及术后末次随访评分差异进行分析,进而对患者康复及预后进行评价。结果发现患者术后末次随访AOFAS评分明显高于术前AOFAS评分,差异有统计学意义(P<);发现患者术后末次随访VAS评分则明显低于手术前VAS评分,差异也有统计学意义(P<)。结论踇长屈肌腱转位联合腓肠肌腱膜V-Y延长治疗陈旧性跟腱缺损可减少对踇趾功能的影响,避免小腿三头肌进一步萎缩。提高了跟腱修复的强度。关键词陈旧性跟腱缺损;踇长屈肌腱;V-Y肌腱瓣;biningFlexorHallucisLongusTendonTransferandV-emiusFanHongjin,ChenLei,HanQingluan,et,al.(DepartmentofHand&Footsurgery,AffiliatedHospitalofJiningMedicalUniversity,Jining272100,China)biningflexorhallucislongustendontransferandV-- preoperativeandpostoperative follow-up score differenceanalysis, thentoevaluatethe rehabilitation -up afteroperationwerehigherthanthesebeforetheoperation,thedifferencehasstatisticallysignificant(P<).ThescoreofVASofpatientattheendoffollow-up afteroperationwerelowerthanthesebeforetheoperation,andthedifferencealsohasstatisticallysignificant(P<).ConclusionHallucislongflexortendontranspositionjointcalfmuscleaponeurosisV-YextendedtreatmentofchronicAchillestendonrupturecanreducetheinfluenceofhallucistoefunction,
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