Abstract：【Objective】To investigate the clinical efficacy of Lindholm and Vulpius in the treatment of chronic Achilles tendon rupture.【Methods】The clinical data of 97 patients with chronic Achilles tendon rupture treated by surgery from February 2014 to December 2016 were retrospectively analyzed. According to the different surgical methods, they were divided into Lindholm group (n=50) and Vulpius group (n=47). The clinical efficacy and complications of the two groups were analyzed and summarized after operation. 【Results】There were 20 excellent cases, 26 good cases, 4 fair cases and 0 poor cases in the Lindholm group, the excellent and good rate was 92.0% (46/50); 20 excellent cases, 22 good cases, 2 fair cases, 1 poor case in the Vulpius group, the excellent and good rate was 89.4% (42/47); there was no significant difference between the two groups (χ2=0.2,P=0.646>0.05). There was no re-rupture of Achilles tendon and skin edge necrosis in both groups. In the Lindholm group, incision infection occurred in 3 cases and sural nerve injury occurred in 1 case. The incidence of complications was 8.0%. There were 4 cases of incision infection in the Vulpius group, and the incidence of complications was 8.5%. There was no significant difference in the incidence of complications between the two groups (χ2=0.008,P=0.929>0.05).【Conclusion】Lindholm operation or Vulpius operation is effective in treating chronic Achilles tendon rupture, and the incidence of complications is low. It can be selected according to the patient's own situation.
胡春鹤, 金驰, 徐屹, 张晓, 张栋栋, 杨庆健. Lindholm术和Vulpius术治疗慢性跟腱断裂的临床研究[J]. 医学临床研究, 2019, 36(3): 445-447.
HU Chun-he, JIN Chi, XU Yi, et al. Clinical Study of Lindholm Operation and Vulpius Operation on Chronic Achilles Tendon Rupture. JOURNAL OF CLINICAL RESEARCH, 2019, 36(3): 445-447.
[1] Massoud E I. Tension Regulation at the Suture Lines for Repair of Neglected Achilles Tendon Laceration[J]. Foot Ankle Int, 2017, 38(3):304-309. [2] 孙太存,鲁彪,曹兴兵,等.层叠斜面缝合法修复新鲜闭合性跟腱断裂早期疗效观察 [J].中国修复重建外科杂志, 2017, 31(12):1447. [3] Lever C J, Bosman H A, Ahn R. The functional and dynamometer-tested results of transtendinous flexor hallucis longus transfer for neglected ruptures of the Achilles tendon at six years' follow-up[J]. Bone Joint J, 2018, 100-B(5):584. [4] Yasuda T, Shima H, Mori K, et al. Direct Repair of Chronic Achilles Tendon Ruptures Using Scar Tissue Located Between the Tendon Stumps.[J]. J Bone Joint Surg Am, 2016, 98(14):1168-1175. [5] Gross C E, Nunley J A. Treatment of Neglected Achilles Tendon Ruptures with Interpositional Allograft[J]. Foot Ankle Clin, 2017, 22(4):735. [6] Kelahmetoglu O, Gules M E, Elmadag N M, et al. Double-Layer Reconstruction of the Achilles' Tendon Using a Modified Lindholm's Technique and Vascularized Fascia Lata.[J]. J Hand Microsurg, 2017, 10(1):49-51. [7] Li Z, Zhang N, Wang Y, et al. Stair-shaped Achilles tendon lengthening in continuity-A new method to treat equinus deformity in patients with spastic cerebral palsy[J]. Foot Ankle Surg, 2017,S1268(17):31311-31315. [8] Kraeutler MJ, Purcell JM, Hunt KJ. Chronic achilles tendon ruptures[J]. Foot Ankle Int, 2017, 38(8):921-929. [9] Shoaib A, Mishra V. Surgical repair of symptomatic chronic achilles tendon rupture using synthetic graft augmentation.[J]. Foot Ankle Surg, 2017, 11(1):291-296. [10] Khiami F, Schino MD, Sariali E, et al. Treatment of chronic Achilles tendon rupture by shortening suture and free sural triceps aponeurosis graft[J]. Orthop Traumatol Surg Res, 2013, 99(5):585-591. [11] Koh D, Lim J, Chen JY, et al. Flexor hallucis longus transfer versus turndown flaps augmented with flexor hallucis longus transfer in the repair of chronic Achilles tendon rupture[J]. Foot Ankle Surg, 2017,S1268(17):31332. [12] Wang D, Sandlin MI, Cohen JR, et al. Operative versus nonoperative treatment of acute Achilles tendon rupture: An analysis of 12,570 patients in a large healthcare database[J]. Foot Ankle Surg, 2015, 21(4):250-253.
2019, Vol. 36 
