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1 临床资料2004年6月至2005年6月我科陆续收治11名跟腱断裂的飞行员患者,年龄为34～45岁,均是打篮球所致单侧跟腱断裂。受伤当时突感足跟疼痛,多数患者听见“啪”的一声,当即运动受限,足踝部失力,不能行走。伤后现场未做处理,直接送往医院。在连续硬膜外麻醉下行跟腱吻合手术治疗。术后用纱布包扎伤口,长腿石膏托固定于屈膝45°,踝跖屈30°位。3周后改为短腿石膏固定,继续固定至术后6周方可承重。逐渐恢复正常活动,经随诊全部患者痊愈后步态正常,踝关节背屈超过70°,1例患者背屈85°,下蹲仍有困难,经查为跟腱与皮肤粘
1 Clinical data June 2004 to June 2005 our department successively treated 11 patients with achilles tendon rupture pilot, aged 34 to 45 years old, are unilateral basketball Achilles tendon rupture. At the time of the accident, healed the pain of heel and heel. Most patients heard the sound of “pop”, and the movement immediately was limited. The foot and ankle were unable to walk. The scene was not treated, directly to the hospital. Achilles tendon surgery under continuous epidural anesthesia. Postoperative wound dressing with gauze, long leg plaster fixed at knees 45 °, ankle plantar flexion 30 °. After 3 weeks, the gypsum was fixed to the short leg and continued to be fixed until 6 weeks after operation. Gradually returned to normal activity. All the patients were followed up for follow-up, with normal gait, ankle dorsiflexion of more than 70 °, and 1 case of dorsiflexion of 85 °. There was still difficulty in squatting.