| Objective: To compare the clinical outcomes of percutaneous Yurt-bone suture and minimal invasive surgery in the treatment of acute Achilles tendon rupture.Methods:Between September 2011 and December 2015,31 patients with acute Achilles tendon rupture were treated at our department,Of them,14 received percutaneous Yurt-bone suture and 17 minimal invasive surgery ? The 2 groups were compared in terms of hospital stay,intraoperative bleeding volume,surgery time,decrease in leg circumference,delayed healing of the incision,single heel rise test,rerupture rate sural nerve lesion and Achilles tendon rotal rupture scores(ATRS)at the final follow-up.analyze the result of color Doppler and CT.Results: The average follow up period was17.6 months(9~27 months)for all the patients of two groups.percutaneous Yurt-bone suture group had significantly shorter hospital day(4.2 ± 0.8 days),less intraoperative bleeding volume(8.5±3.6 m L),and shorter surgery time(41.4 ± 5.3 min)than the minimaliy invasive suegery group(5.8 ± 1.3 days,43.5 ± 7.6 mL and 75.5 ± 7.8min)(P<0.05).There were no statistical differences between the 2 groups regarding,decrease in leg circumference(1.9 ± 0.2 cm versus 2.0 ± 0.2 cm),delayed healing of the incision(0versus 11.8 %),positive rate of single heel rise test(7.1 % versus 5.9 %),rate of sural nerve lesion(7.1 % versus 0)or ATRS score(91.2 ± 3.7 versus 90.4 ± 3.3)(P>0.05).No re-rupture was observed in either groups.Conclusions:In the treatment of acute Achilles tendon rupture,compared with minimal invasive surgery Percutaneous Yurt-bone suture has the advantages of shorter hospital day,shorter surgery time,less intraoperative bleeding,did not increase complications,suitable for clinical application... |
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