Treatment of acute closed Achilles tendon ruptures by freeing and protecting inner fascia vascular plexus combined with rivet repair through medial incision
LIANG Hai-qun
ZHANG Li-gen
LI Jiu-chen
SHI Zhi-qiang
XU Hai-zhao
ZHANG Yan-hui
ZHAO Zhi-wei
Abstract：Objective To discuss the treatment method of fresh closed Achilles tendon rupture by freeing and protecting inner fascia vascular plexus and rivet repair through medial incision .Methods Forty-eight patients with rupture of Achilles tendon were applied with medial incision in Achilles tendon .During the operation ,the pos-terior tibial artery perforator was exposed , the fascia vascular plexus was freed and protected , the vascular pedicle bridge was formed to connect skin fascia at both ends of incision ,and rivets were used for braided suture .Six weeks after removing external fixation ,the stretching and isometric training were conducted .Results All 48 patients were followed up for an average of 11 months (ranging 9 months~2 years).According to American Orthopaedic Foot Ankle Society (AOFAS) evaluation score,there were 40 excellent cases,5 good cases and 3 fair cases,and the ex-cellent and good rate was 93.75%( 45/48 ) . There was no case of sural nerve injury , tibial nerve injury , plantar painful scar,injury of the medial and lateral nerves ,wound infection,or split.Conclusion The fresh closed Achil-les tendon rupture is treated by applying medial incision in Achilles tendon ,freeing and protecting inner fascia vas-cular plexus combined with rivet repair ,which has advantages of simple operation ,reliable anastomosis ,minimal in-vasion,low skin necrosis rate and good functional recovery .It is worthy to be conducted in primary hospitals .
Keywords：Achilles tendon rupturerivetsanastomosis
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 408-410 )