跟腱完全断裂评分在急性跟腱断裂中的应用

doi:10.3969/j.issn.1006-9771.2020.06.016

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (6): 707-710.doi: 10.3969/j.issn.1006-9771.2020.06.016

跟腱完全断裂评分在急性跟腱断裂中的应用

王玉仲^1,²,梁丹艳³,郝江慧⁴,温树正¹,王继宏¹()

1.内蒙古医科大学第二附属医院手足显微外2科,内蒙古呼和浩特市 010020
2.河北省胸科医院骨2科,河北石家庄市 050000
3.内蒙古自治区人民医院超声科,内蒙古呼和浩特市 010020
4.河北医科大学第二医院神经内科,河北石家庄市 050000

收稿日期:2019-07-29 修回日期:2019-09-16 出版日期:2020-06-25 发布日期:2020-06-29
通讯作者: 王继宏 E-mail:wjhkyzy@163.com
作者简介:王玉仲(1990-),男,汉族,河北沧州市人,硕士,主治医师,主要研究方向：神经肌腱损伤的修复。
基金资助:
内蒙古自治区卫生计生科研计划项目(201703120)

Application of Achilles Tendon Total Rupture Score in Acute Achilles Tendon Rupture

WANG Yu-zhong^1,²,LIANG Dan-yan³,HAO Jiang-hui⁴,WEN Shu-zheng¹,Wang Ji-hong¹()

1. Department of Hand-foot and Microsurgery 2, the 2nd Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia 010020, China
2. Department of Orthopedics 2, Hebei Chest Hospital, Shijiazhuang, Hebei 050000, China
3. Department of Ultrasound, Inner Mongolia People's Hospital, Hohhot, Inner Mongolia 010020, China
4. Department of Neurology, the 2nd Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, China

Received:2019-07-29 Revised:2019-09-16 Published:2020-06-25 Online:2020-06-29
Contact: Wang Ji-hong E-mail:wjhkyzy@163.com
Supported by:
Inner Mongolia Health and Family Planning Research Project(201703120)

摘要/Abstract

摘要：

目的观察跟腱完全断裂评分(ATRS)评价跟腱术后康复情况的效度。方法 2012年1月至2016年12月,纳入急性跟腱断裂患者50例。将ATRS的原始表进行翻译、整理和评估,得到ATRS-共识版。在术后1个月、2个月、3个月、6个月、12个月随访时,记录所有术后随访患者的美国矫形足踝协会踝-后足评分(AOFAS-AH)得分和ATRS得分。结果随访过程中失访3例。所有患者两种评分均随时间递增,且逐渐趋于平缓。AOFAS-AH总体得分与ATRS总体得分呈显著正相关(ρ =0.961, P < 0.001)。结论 ATRS在评价跟腱修复后的功能恢复情况时均有较好的效标效度。

关键词: 跟腱断裂, 评定, 美国矫形足踝协会踝-后足评分, 跟腱完全断裂评分, 效度

Abstract:

Objective To explore the validity of Achilles Tendon Total Rupture Score (ATRS) for rehabilitation after Achilles tendon rupture.Methods From January, 2012 to December, 2016, 50 patients with acute Achilles tendon rupture were enrolled. The original table of ATRS was translated, organized and evaluated to obtain the ATRS consensus version. At the 1st month, 2nd month, 3rd month, 6th month and 12th month follow-up, the scores of American Orthopaedic Foot and Ankle Society Ankle-hindfoot scale (AOFAS-AH) and ATRS were recorded.Results Three patients were dropped out. The scores of both AOFAS-AH and ATRS increased with time, and gradually became flat. The total score of AOFAS-AH was significantly positively correlated with the total score of ATRS (ρ =0.961, P < 0.001). Conclusion ATRS can be used in evaluating the functional recovery of Achilles tendon repair.

Key words: Achilles tendon rupture, assessment, American Orthopaedic Foot and Ankle Society Ankle-hindfoot scale, Achilles Tendon Total Rupture Score, validity

中图分类号:

R687

王玉仲,梁丹艳,郝江慧,温树正,王继宏. 跟腱完全断裂评分在急性跟腱断裂中的应用[J]. 《中国康复理论与实践》, 2020, 26(6): 707-710.

WANG Yu-zhong,LIANG Dan-yan,HAO Jiang-hui,WEN Shu-zheng,Wang Ji-hong. Application of Achilles Tendon Total Rupture Score in Acute Achilles Tendon Rupture[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(6): 707-710.

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参考文献 29

[1]	De Noronha M, Refshauge K M, Kilbreath S L, et al. Cross-cultural adaptation of the Brazilian-Portuguese version of the Cumberland Ankle Instability Tool (CAIT)[J]. Disabil Rehabil, 2008, 30(26):1959-1965. doi: 10.1080/09638280701809872 pmid: 18720109
[2]	林璐璐, 孙宁, 王雪蕊, 等. 膝关节骨性关节炎常用评价量表的比较与分析[J]. 中国疼痛医学杂志, 2018, 24(2):135-139.
[3]	陈国华, 邵建赟, 何健, 等. 成人大骨节病髌骨稳定性与Lysholm膝关节功能评分的多重回归分析[J]. 中华地方病学杂志, 2017, 36(7):477-481.
[4]	王锴, 刘强, 林剑浩, 等. 患者教育及个性化运动治疗在膝关节骨关节炎患者中的应用[J]. 中华医学杂志, 2018, 98(2):2152-2156.
[5]	陈爱宝, 穆继宏, 龚琦, 等. 不同处理原则对官兵踝关节扭伤后功能恢复的比较[J]. 华南国防医学杂志, 2015, 29(12):918-920.
[6]	Gwynne-Jones D P, Sims M, Handcock D. Epidemiology and outcomes of acute Achilles tendon rupture with operative or nonoperative treatment using an identical functional bracing protocol[J]. Foot Ankle Int, 2011, 32(4):337-343. doi: 10.3113/FAI.2011.0337 pmid: 21733434
[7]	Houshian S, Tscherning T, Riegels-Nielsen P. The epidemiology of Achilles tendon rupture in a Danish county[J]. Injury, 1998, 29(9):651-654. pmid: 10211195
[8]	Sheth U, Wasserstein D, Jenkinson R, et al. The epidemiology and trends in management of acute Achilles tendon ruptures in Ontario, Canada: a population-based study of 27 607 patients [J]. Bone Joint J, 2017, 99-B(1):78-86. doi: 10.1302/0301-620X.99B1.BJJ-2016-0434.R1 pmid: 28053261
[9]	Ganestam A, Kallemose T, Troelsen A, et al. Increasing incidence of acute Achilles tendon rupture and a noticeable decline in surgical treatment from 1994 to 2013. A nationwide registry study of 33 160 patients[J]. Knee Surg Sports Tr A, 2016, 24(12):3730-3737
[10]	Lantto I, Heikkinen J, Flinkkilä T, et al. Epidemiology of Achilles tendon ruptures: increasing incidence over a 33-year period[J]. Scand J Med Sci Sports, 2015, 25(1):e133-138. doi: 10.1111/sms.2015.25.issue-1
[11]	Zhang H, Liu P Z, Zhang X, et al. A new less invasive surgical technique in the management of acute Achilles tendon rupture through limited-open procedure combined with a single-anchor and "circuit" suture technique[J]. J Orthop Surg Res, 2018, 3(1):198.
[12]	Karatekin Y S, Karaismailoglu B, Kaynak G, et al. Does elasticity of Achilles tendon change after suture applications? Evaluation of repair area by acoustic radiation force impulse elastography[J]. J Orthop Surg Res, 2018, 13(1):45. doi: 10.1186/s13018-018-0751-z pmid: 29499741
[13]	Qiao Y, Tao H Y, Ma K, et al. UTE-T2 analysis of diseased and healthy Achilles tendons and correlation with clinical score: an in vivo preliminary study[J]. Biomed Res Int, 2017, 2017:1-5.
[14]	丘均友, 黄轶, 钟玉祥. 手法配合小切口内固定对距下关节移位跟骨骨折患者的疗效及Maryland、AOFAS评分的影响[J]. 中国医药科学, 2017, 7(10):207-210.
[15]	Nilsson-Helander K, Thomeé R, Silbernagel K G, et al. The Achilles tendon Total Rupture Score (ATRS): development and validation[J]. Am J Sports Med, 2007, 35(3):421-426. doi: 10.1177/0363546506294856
[16]	Zhao J L, Chen P M, Li W F, et al. Translation and initial validation of the Chinese version of the Action Research Arm Test in people with stroke[J]. Biomed Res Int, 2019, 2019:1-9.
[17]	Ferreira A F, Laurindo I M, Rodrigues P T, et al. Brazilian version of the Foot Health Status Questionnaire (FHSQ-BR): cross-cultural adaptation and evaluation of measurement properties[J]. Clinics, 2008, 63(5):595-600. doi: 10.1590/S1807-59322008000500005
[18]	Kitaoka H B, Alexander I J, Adelaar R S, et al. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes[J]. Foot Ankle Int, 1997, 18(3):187-188. doi: 10.1177/107110079701800315 pmid: 28799420
[19]	严广斌. AOFAS踝-后足评分系统[J]. 中华关节外科杂志(电子版), 2014(4):557.
[20]	刘得恒, 张增方, 刘金伟, 等. 腓骨短肌腱联合腱鞘外筋膜瓣修复跟腱并皮肤缺损[J]. 中华显微外科杂志, 2018, 41(2):148-151.
[21]	王昌俊, 郑欣, 陈一心, 等. 112例急性跟腱断裂的手术疗效分析[J]. 创伤外科杂志, 2014, 16(2):123-126.
[22]	Portney L G. Foundations of Clinical Research: Applications to Practice[M]. 3rd ed. Upper Saddle River, New Jersey: Pearson/Prentice Hall, 2009.
[23]	吴毅, 胡永善, 范文可, 等. 康复医学功能评定量表信度和效度研究[J]. 中国组织工程研究, 2002, 24(3):310-317.
[24]	冷元曦, 支乐, 邓晖, 等. 小针刀联合Ilizarov踝关节牵引器治疗跟腱挛缩23例[J]. 中国当代医药, 2015, 22(34):118-120.
[25]	Rosso C, Vavken P, Polzer C, et al. Long-term outcomes of muscle volume and Achilles tendon length after Achilles tendon ruptures[J]. Knee Surg Sports Tr A, 2013, 21(6):1369-1377.
[26]	Vascellari A, Spennacchio P, Combi A, et al. Cross-cultural adaptation and multi-centric validation of the Italian version of the Achilles tendon Total Rupture Score (ATRS)[J]. Knee Surg Sports Tr A, 2018, 26(3):854-861.
[27]	Zambelli R, Pinto R Z, Magalhães J M, et al. Development of the Brazilian Portuguese version of the Achilles Tendon Total Rupture Score (ATRS BrP): a cross-cultural adaptation with reliability and construct validity evaluation[J]. BMC Sports Sci Med Rehabil, 2016, 8(1):11. doi: 10.1186/s13102-016-0034-0
[28]	董震, 王林涛, 齐鹏, 等. 关节镜下跟腱延长术在儿童马蹄足中的应用[J]. 中国矫形外科杂志, 2017, 25(3):282-285.
[29]	Ganestam A, Barfod K, Klit J, et al. Validity and reliability of the Achilles tendon Total Rupture Score[J]. J Foot Ankle Surg, 2013, 52(6):736-739. doi: 10.1053/j.jfas.2013.07.004 pmid: 23965178

跟腱完全断裂评分项	得分
1.您是否因小腿/跟腱/脚的(力量)强度下降而(行动)受到限制?
2.您是否因小腿/跟腱/脚的易疲劳而(行动)受到限制?
3.您是否因小腿/跟腱/脚的活动僵硬而(行动)受到限制?
4.您是否因小腿/跟腱/脚的疼痛而(行动)受到限制?
5.在日常生活活动中,您是否受到限制?
6.在不平坦的表面上行走时,您是否受到限制?
7.快步上楼梯或上山时,您是否受到限制?
8.在包括跑步在内的活动中,您是否受到限制?
9.在包括跳跃的活动中,您是否受到限制?
10.在从事艰苦的体力劳动时,您是否受到限制?
总分：

量表	1个月(n = 50)	2个月(n = 50)	3个月(n = 50)	6个月(n = 49)	12个月(n = 47)	合计
AOFAS-AH	55.7±3.9	67.0±3.6	75.6±4.4	83.3±2.7	89.3±1.7	76.9±13.1
ATRS	55.4±3.3	68.0±5.5	79.8±3.2	85.1±3.8	90.7±1.5	78.2±14.0
ρ值	0.324	0.439	0.762	0.640	0.347	0.961
P值	0.022	0.001	< 0.001	< 0.001	0.017	< 0.001

跟腱完全断裂评分在急性跟腱断裂中的应用

Application of Achilles Tendon Total Rupture Score in Acute Achilles Tendon Rupture

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