대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제27권2호
  • /
  • Pages.39-42
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  • 2023
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
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아킬레스건 소매 견열

Achilles Tendon Sleeve Avulsion

  • Wooseung Lee (Department of Orthopedic Surgery, VHS Medical Center) ;
  • Jinuk Jeong (Department of Orthopedic Surgery, VHS Medical Center) ;
  • Byoungkwon Min (Department of Orthopedic Surgery, Daegu Veterans Hospital) ;
  • Euidong Yeo (Department of Orthopedic Surgery, VHS Medical Center)
  • 투고 : 2023.05.02
  • 심사 : 2023.05.10
  • 발행 : 2023.06.15
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초록

A ruptured Achilles tendon at the calcaneus attachment, which does not include a bone that can be fixed, is called 'sleeve avulsion'. A small amount of tendon in the calcaneal region can be sutured to the proximal portion of the ruptured Achilles tendon or insufficient bone to be fixed. Hence, tendon-bone healing is expected, but the results are not good compared to other parts of the tear. The incidence of Achilles tendon rupture is 7 to 40 per 100,000 patients, and 25% of patients undergo direct suture or reconstruction surgery, and 7.6% of patients with sleeve avulsion injuries undergo surgery. Surgical treatment may be a better choice for Achilles tendon sleeve avulsion because no successful case of conservative treatment has been reported. Distal wounds above the ruptured tendon adjacent to the bony eminence can have wound healing problems because of the thin, soft tissue and hypovascularity. An appropriate surgical method must be selected for each patient.

키워드

참고문헌

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