Progress and thinking of minimally invasive technique in the treatment of chronic Achilles tendon rupture
10.3760/cma.j.cn112139-20220310-00101
- VernacularTitle:微创技术在陈旧性跟腱断裂治疗中的进展与思考
- Author:
Yunjia HAO
1
;
Aiguo WANG
Author Information
1. 徐州市中心医院 徐州医科大学徐州临床学院手足显微外科，徐州 221009
- Keywords:
Achilles tendon;
Tendon injury;
Minimally invasive technique;
Chronic
- From:
Chinese Journal of Surgery
2022;60(6):524-527
- CountryChina
- Language:Chinese
-
Abstract:
In recent years,the application of minimally invasive techniques in the treatment of chronic Achilles tendon rupture has become more and more mature,and it also faces many controversies and challenges.The concept of minimally invasive technique is to minimize the dissection of soft tissue around the Achilles tendon and reduce the occurrence of postoperative wound complications.Minimally invasive small incision surgery does not expose the Achilles tendon stump,and either tendon transposition or tendon transplantation can be achieved using this technique,but there is a risk of accidental injury to the peripheral nerve.There are two main categories of arthroscopic treatment of old Achilles tendon rupture:endoscopic flexor hallucis longus tendon transfer and endoscopic tendon bridging.The former has a certain effect on postoperative flexor digitorum strength,and the latter is used in large segment defects mostly. The scientific and reasonable application of minimally invasive techniques in the treatment of patients with chronic Achilles tendon rupture is the goal and direction of continuous struggle of foot and ankle surgeons in the future.
