Chinese Journal of Tissue Engineering Research ›› 2014, Vol. 18 ›› Issue (25): 4084-4089.doi: 10.3969/j.issn.2095-4344.2014.25.026

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Ruptured Achilles tendon repaired with hernia repair materials using a wrap method

Xu Jun-ping, Guan Ping, Sun Dong-ping, Song Jiang-run, Ma Wei   

  1. Department of Orthopedics, People’s Hospital of Pingliang, Pingliang 744000, Gansu Province, China
  • Received:2014-05-09 Online:2014-06-18 Published:2014-06-18
  • Contact: Xu Jun-ping, Department of Orthopedics, People’s Hospital of Pingliang, Pingliang 744000, Gansu Province, China
  • About author:Xu Jun-ping, Attending physician, Department of Orthopedics, People’s Hospital of Pingliang, Pingliang 744000, Gansu Province, China

Abstract:

BACKGROUND: The incidence of complications following conventional repairing for the ruptured tendon is up to 73%, such as delayed healing, adhesion, secondary rupture. These complications severely affect ankle joint function of the patients.
OBJECTIVE: To reduce the complications following the repair and investigate the role of hernia repair materials in the repairing of ruptured Achilles tendon.
METHODS: Eleven patients who underwent repair of ruptured Achilles tendon were retrospectively studied. Among them there were eight males and three females with the mean age of 42 years (26-58 years). Three cases were injured in left side and eight cases were in right side; four cases were open injury by sickle-induced damage and seven cases were closed injury by exercise-induced damage. The hernia repair materials after pruning was applied with a “wrap” method to strengthen the anastomosis repair of Achilles tendon after the conventional repair surgery had been completed. At the time of follow-up, all patients were observed for postoperative local appearance and function recovery, and assessed with Arner Lindholm standards.
RESULTS AND CONCLUSION: The follow-up interval was 6-45 months (average 24.5 months). Two cases were lost to follow-up. According to the Arner Lindholm standards, the effects were excellent in seven cases (78%) and good in two cases (22%). Local appearance and function recovered well postoperatively, and no complications occurred such as wound infection, secondary rupture and so on. A “wrap” method with hernia repair materials is suggested to strengthen the anastomosis repair of ruptured Achilles tendon after the conventional repair surgery is completed, it can significantly promote the healing of Achilles tendon ruptured end anastomosis, prevent Achilles tendon recurrent ruptures, local adhesion and infection.


中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


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Key words: Achilles tendon, reoperation

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