关键词: 闭合性跟腱断裂, 最小侵入性外科手术, 康复

Abstract:

Objective  To explore the efficacy of early rehabilitation in minimally invasive treatment for closed Achilles tendon rupture.

Methods  A retrospective analysis was performed on the clinical data of 80 patients with acute closed Achilles tendon rupture treated by minimally invasive percutaneous Achilles tendon repair. According to different postoperative rehabilitation plans, they were divided into early rehabilitation group(n=44) and traditional rehabilitation group(n=36). The patients were followed up for 12 months. The efficaccy, Achilles tendon total rupture score(ATRS) and American Orthopaedic Foot & Ankle Society(AOFAS) score, the rate of muscle strength recovery and the difference in complications were compared during the postoperative period to the last follow-up.

Results  The effective rate of early rehabilitation patients was significantly higher than that of traditional rehabilitation group, and the difference between groups was statistically significant(P＜0.05); the effective rate of patients at different time points was significantly different(P＜0.05). Repeated measurement variance analysis showed that ATRS score and AOFAS score at 6 months and 12 months after operation were higher in both groups, and higher in early rehabilitation group than in the traditional rehabilitation group(P＜0.05). Moreover, the excellent rate of muscle strength recovery at last follow-up was significantly higher in early rehabilitation groups than in the traditional rehabilitation group(P＜0.05). No postoperative infection occurred in both group, without Achilles tendon rupture until the last follow-up and with no differences in the incidence of complications during the follow-up(P＞0.05).

Conclusion  The application of early rehabilitation in minimally invasive treatment for closed Achilles tendon rupture is effective, which can effectively promote the postoperative muscle recovery and improve the functional score. Therefore, it is worthy of clinical promotion and application.

Key words:

closed achilles tendon rupture, minimally invasive surgical procedures, rehabilitation