The Clinical Study Of Treatment Of Achilles Tendon Rupture With Gastrocnemius Tendon Flap Flip Strengthening

ObjectiveSystematically compare the gastrocnemius tendon flap strengthening method with the Simple end to end anastomosis method on the postoperative efficacy and complication rate differences,to provide a reference for the establishment of a optimal program of the clinical treatment of Achilles tendon rupture.MethodsCollect the clinical data of Achilles tendon rupture in our department of traumatic orthopedics from2007to2012, then divide the cases that meet the inclusion criteria into the gastrocnemius tendon flap strengthening group and the simple anastomosis group(modified Kessler method), and respectively assess the efficacy and complications at the sixth month after operation with the Arner Lindholm and Ankle-Hindf oot Scale. the data was dealt with x2test or t test with the SPSS17.0statistical package (the parameters with P<0.05).Result50patients were followed up,20from the gastrocnemius flap strengthening group,30from the Simple end to end anastomosis group. The final result: Excellence rate(Arner Lindholm scale):the fomer group is100%; the latter group is96.67%. Ankle-Hindfoot Scale:the fomer group is98±1.02(96.98-99.02);the latter group is95±1.55(93.45-96.55). The incidence of complications such as Achilles tendon re-rupture, neurovascular injury and wound infection was no statistical difference. ConclusionsGastrocnemius tendon flap strengthening method can make a better functional outcomes in patients with Achilles tendon rupture than the simple end to end anastomosis method, there was no significant differences in complications. It is easy to operate and should be widely applied.