跟腱

It was a good effect that the open Achilles tendon ruptures were treated by modified Tsuge Stuture or auxileary Repair with free deep-fascia circuitously.......

改良津下缝合法吻合跟腱或辅助游离深筋膜环行修复治疗开放性跟腱断裂具有良好的疗效。关键词：跟腱断裂；津下缝合；筋膜移植

Methods: From June 2002 to June 2007, 202 patients (298 feet) with congenital talipes equinovarus admitted in our hospital, and the operations such as the Achilles tendon lengthening+solution of soft tissue, the solution of metatarsus fascia, the Achilles tendon lengthening+cuboid bone osteoectomy or tibialis anterior tendon transfer, the Achilles tendon lengthening+talus excision, the Achilles tendon lengthening+fusion of trijoints+talus excision etc, were adoptted.

回顾性分析202例（298足）先天性马蹄内翻足患者的临床资料，根据患者的年龄、内翻足畸形和僵硬程度的不同分别采用跟腱延长+软组织松解、跖筋膜松解、跟腱延长+骰骨截骨或胫前肌外移、跟腱延长+距骨切除、跟腱延长+三关节融合+距骨切除等手术方式进行治疗。

This repairing method posses such advantages as convenient dissection,satisfactory appearance,and good functional recovery,indicating that it is a good choice to treat soft tissue defects of heel or tendo calcaneus.

应用腓动脉终末支为血供的足外侧皮瓣局部转移或形成岛状皮瓣修复跟腱和足跟区软组织缺损，解剖简便，修复后外观及功能恢复良好，是临床上修复足跟及跟腱区皮肤软组织缺损的良好选择。

With the patient prone, make a 12 cm incision along the posterolateral border of the tendo calcaneus down to the insertion of the tendon on the calcaneus Fig.

患者取俯卧位，切口位于跟腱后外侧缘，长约12cm，向下止于跟腱于跟骨的附着处(图1-32)。

ETHODS: The gastrocnemius bundle branch and soleus muscle bundle branch of the right achilles tendon were sutured after surface skin and subcutaneous tissue discission. The gastrocnemius bundle branch was transected at 2 cm above calcaneal bone insertion and a 2-cm silicone tube was applied to separate the site of suture using 5-0 modified Kessler method. The site of suture was treated with nothing in silicone tube as the blank control group. In other three groups, the site of suture was treated with 100, 50, 10 ng VEGF in silicone tube at the operation day and 7, 14, 21 days post-operation.

切开家兔右侧跟腱表面皮肤、皮下组织，钝性分离跟腱的腓肠肌束支和比目鱼肌束支，于跟骨止点上方约2 cm处横行切断跟腱腓肠肌束支，将2 cm长硅胶管套入一侧断端，5-0缝合线改良Kessler法缝合跟腱，缝合后将硅胶管覆盖跟腱缝合处，空白组硅胶管内不加药，其他3组于手术当日及术后第7，14，21天往硅胶管内加入血管内皮生长因子100，50，10 ng。

Objective To research effect on tendon healing and adhearing after tendontransplanted with vascular vessel and protect paratenonMethods 30 rabbits were regarded as study objects ,the double Achillestendons were cut off and anastomosd in 24 ,the left Achilles were anastomosedwith protecting paraneton and circulation under microscope as theexperimental group; the right Achilles were handled as the left exceptresecting the peritendineum as the control group; the another 6 as thenormal group without any surgical intervene. All the animals wereimmobilized with plaster 3 weeks.

目的 研究吻合血管、保留腱膜肌腱移植对肌腱愈合及粘连影响方法以30只健康中国白毛红眼兔为实验动物，双后肢自身对照，实验组取左后肢于镜下保护好腱周血供，在腱周组织表面用尖刀片轻柔作一约0.5cm切口，挑出一束跟腱刀片横断，3-0无创缝线改良Kessler法缝合，再间断缝合腱周组织；对照组取右后肢，游离并切除腱周组织，余操作同实验组；空白组：不予任何外科干预。

VY tenoplasty is effective for achilles tendon rerupture, especially for the patients of deficiency between 4 to 6 cm.

VY腱成形术可用于修复跟腱再断裂中跟腱缺损4～6cm患者，效果满意。

OBJECTIVE: To make a comparative study on the biomechanical properties and histological differences of 3 tendon suturing methods.

每只大鼠的双后肢跟腱为实验组，右后肢跟腱作生物力学测试，左后肢跟腱作组织学检测。

Method］28 cases were treated by short incision and tenocutaneous relaxing suture from 1996-2005,The scar tissue and blood blocks between the ends of ruptured Achilles tendon were first debrided completely,then treated with percutanneous decmpression suture,the duration of follow up ranged from 2 years to 10 years.

方法］自1996年1月～2005年4月间，随机选取跟腱断裂的患者28名，经术前查体和MRI证实，均为新鲜完全性闭合性跟腱断裂。首先微创暴露跟腱断端，清除断端的瘢痕和血凝块，梳理对合两断端，在皮外经跟腱断端以远健康部位做减张缝合。

Method］28 cases were treated by short incision and tenocutaneous relaxing suture from 1996-2005,The scar tissue and blood blocks between the ends of ruptured Achilles tendon were first debrided completely,then treated with percutanneous decmpression suture,the duration of follow up ranged from 2 years to 10 years.

方法］自1996年1月～2005年4月间，随机选取跟腱断裂的患者28名，经术前查体和MRI证实，均为新鲜完全性闭合性跟腱断裂。首先微创暴露跟腱断端，清除断端的瘢痕和血凝块，梳理对合两断端，在皮外经跟腱断端以远健康部位做减张缝合。患者常规术后随访，平均随访4年(1～7年)。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失