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首页> 外文期刊>Archives of orthopaedic and trauma surgery. >Functional treatment after surgical repair of acute Achilles tendon rupture: wrap vs walking cast.
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Functional treatment after surgical repair of acute Achilles tendon rupture: wrap vs walking cast.

机译：急性跟腱断裂手术修复后的功能治疗：包裹式与步行式。

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The aim of this study was to compare the clinical outcome for patients treated with walking cast immobilization and wrap early mobilization after surgical repair of acute Achilles tendon ruptures. A total of 39 consecutive patients with complete ruptures of the Achilles tendon were identified, treated, and functionally rehabilitated with either a walking cast or a wrap. Because the randomization was quasi-random, chi-square and t-tests were performed to compare the baseline characteristics. A statistically significant difference was present only for the injured side ( p<0.05). Therefore, groups were considered comparable for analysis of outcome. All patients were evaluated at an average follow-up of 6.7 years (range 5-8 years). Functional postoperative treatment with a wrap allowed a significantly shorter hospital stay ( p<0.05) as well as a shorter period to return to pre-injury sports level ( p<0.01) compared with treatment with a walking cast. According to the modified Rupp score, 91.3% of patients in the walking cast group had a good or excellent result, as did 93.8% in the wrap group ( p=0.9). Slight atrophy of the calf muscles was reported in 3 patients in the walking cast group (13.0%) and in 4 in the wrap group (25.0%). One re-rupture was reported in the walking cast group (4.3%). Functional treatment after surgical Achilles tendon repair is safe, and there is no increased risk of re-rupture or wound healing problems. Functional treatment with a wrap is preferable to treatment with a walking cast with respect to hospitalization time and return to sports.
机译：这项研究的目的是比较急性跟腱断裂手术修复后使用步行石膏固定和包裹早期固定的患者的临床结局。总共鉴定出39例跟腱完全断裂的连续患者，并通过步行石膏或包裹物对其进行了治疗和功能康复。因为随机是准随机的，所以执行卡方检验和t检验比较基线特征。仅在受伤侧存在统计学上的显着差异（p <0.05）。因此，各组被视为可比较的结果分析。所有患者的平均随访时间为6.7年（5-8年）。与步行石膏治疗相比，术后包裹性功能性治疗可显着缩短住院时间（p <0.05），缩短恢复损伤前运动水平的时间（p <0.01）。根据改良的Rupp评分，步行石膏组中91.3％的患者有良好或优异的结果，而裹敷组中的93.8％（p = 0.9）。在行走石膏组中有3例小腿肌肉出现萎缩（13.0％），而在裹敷组中有4例小腿肌肉（25.0％）。行走石膏组报告有一次再破裂（4.3％）。外科跟腱修复后的功能治疗是安全的，并且不会增加再次破裂或伤口愈合问题的风险。就住院时间和恢复运动而言，用包裹物进行功能治疗优于用步行石膏进行治疗。

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