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陈旧性跟腱断裂的治疗及康复(附29例分析)

Treatment and Rehabilitation of old Ruptured Achilles Tendon

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【作者】 李梅君付清涛

【Author】 Li Meijun Fu Qingtao Institute of spore Medicine, Beijing Medical College

【机构】 北京医科大学运动医学研究所北京医科大学运动医学研究所

【摘要】 我所1981~1988年共收治陈旧性跟腱断裂29例,其中开放伤1例,闭合伤28例,男26例、女3例.以篮球和跑步运动伤最多.大都在40~51岁之间.康复治疗分三期:第一期:术后局部用棉花夹板及石膏托固定,作全身保健操及进行股四头肌肌力与足趾活动练习;第二期:固定已去除。主要进行踝关节伸屈练习及腿肌肉力量练习;第三期:目的是加强全面身体素质训练,使踝关节功能恢复至正常。若伤侧肌力与健侧相等,就可恢复各项运动,此时间约为术后8~9个月。

【Abstract】 29 cases with old ruptured Achilles tendon, male 26 and female 3, weretreated from 1981 to 1988. Among them are 1 case open rupture and 28 subcutaneous rupture.Most of them aged 40-51 were Basketball player and runner,Posetoperative treatments were given in the following three stages:First stage: The leg was immobilized in a pressing Cotton-plastic splint, while general physical exercise and contraction of quadriceps and movement of toes were carriecl outto improve local circulation and to prevent muscular atrophy. Second stage: Fixationremoved. The main task during this stage was to restore the ankle joint motion and to st-rengthen leg muscles. Third stage: the purpose of this stage is to reach the original physicalfitness and normal local function.In most cases the ability of doing their sport activities and trainings were regained withinthe 8th-9th month after operation.

  • 【文献出处】 中国康复 ,Chinese Journal of Rehabilitation , 编辑部邮箱 ,1990年02期
  • 【被引频次】1
  • 【下载频次】28
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