The current status and challenges of surgical treatment for chronic Achilles tendon rupture
10.3760/cma.j.cn112139-20240324-00142
- VernacularTitle:陈旧性跟腱断裂手术治疗的现状与挑战
- Author:
Shiming FENG
1
Author Information
1. 徐州医科大学徐州临床学院 徐州市中心医院运动医学科，徐州 221009
- Keywords:
Achilles tendon;
Surgical procedures, operative;
Chronic Achilles tendon rupture;
Surgical management;
Tendon transfer;
Tendon flap;
Arthroscopy
- From:
Chinese Journal of Surgery
2024;62(6):520-524
- CountryChina
- Language:Chinese
-
Abstract:
With the growing demand for physical activity, an increasing number of individuals with chronic Achilles tendon ruptures are opting for surgical intervention. Surgical approaches encompass end-to end anastomosis, tendon flap techniques, tendon transfer procedures, and free tendon grafting, among others. When selecting the appropriate surgical method and determining the surgical indications, it is imperative to consider factors like the length of the Achilles tendon defect, patient age, aesthetic preferences, functional requirements, and local tissue conditions. As medical devices evolve and surgical techniques advance, the criteria for surgical intervention are also evolving. Drawing from existing literature evidence, it becomes crucial to define reasonable parameters for addressing Achilles tendon defects with each surgical technique, aligning more closely with clinical needs. Additionally, auxiliary technologies such as biologic therapy and innovative biomaterials have demonstrated promising results in laboratory or animal models. The focal point of advancing these auxiliary technologies lies in facilitating the translation of pertinent clinical outcomes in the future.
