Japanese

Title	アキレス腱再断裂の検討
Subtitle	原著
Authors	七條正典*, 岩噌弘志*, 深井厚*, 眞田高起*, 本田英三郎*, 村上亮*
Authors (kana)
Organization	*関東労災病院スポーツ整形外科
Journal	日本臨床スポーツ医学会誌
Volume	29
Number	3
Page	388-391
Year/Month	2021 /
Article	原著
Publisher	日本臨床スポーツ医学会
Abstract	〔要旨〕 本研究ではアキレス腱断裂に対して当院で手術加療を行った症例のうち, 再断裂を起こした症例を対象として調査し, そのrisk factor(年齢, 性別, BMI, 飲酒, 喫煙, スポーツレベル, 糖尿病や高脂血症の既往)や再断裂の時期, 再断裂時の状況を明らかにすることを目的とした. アキレス腱の手術加療を施行した1201例の中から, 保存療法後の再断裂, 当院や他院でアキレス腱の手術歴, 術後感染例などを除外し, 最終的に1105例を対象とした. 再断裂率は縫合術後が2.1%, 形成術後が3.8%であった. 再断裂時期は縫合術, 形成術とも術後2〜3ヶ月が最も多く, 装具を外した時期に再断裂が多いという結果となった. また再断裂時の状況としては, 段差や階段で躓いた際の受傷が最も多かった. 再断裂のrisk factorはいずれの項目も有意差はなかった. 従来報告されてきたアキレス腱断裂のrisk factorは本研究において再断裂のrisk factorとはならなかった. 術後再断裂となった時期は術後2〜3ヶ月前後が多く, 装具を外した時期に再断裂のリスクが高いと考えられた.
Practice	臨床医学：外科系
Keywords	Achilles tendon, re-rupture, risk factor, アキレス腱, 再断裂, リスク因子

English

Title	Clinical result and risk factor of Achilles tendon re-rupture
Subtitle
Authors	Shichijo, M.*, Iwaso, H.*, Fukai, A.*, Sanada, T.*, Honda, E.*, Murakami, R.*
Authors (kana)
Organization	*Department of Sports Orthopedic Surgery, Kanto Rosai Hospital
Journal	Japanese Journal of Clinical Sports Medicine
Volume	29
Number	3
Page	388-391
Year/Month	2021 /
Article	Original article
Publisher	Japanese Society of Clinical Sports Medicine
Abstract	[Abstract] In this study, we investigated the cases of re-ruptured Achilles tendon who had been treated at our hospital. The purpose of this study was to investigate the risk factors (age, gender, BMI, alcohol consumption, smoking, sports level, diabetes and history of hyperlipidemia), and timing and situation of re-rupture. Out of 1201 patients who underwent surgical treatment of the Achilles tendon, 1105 cases were finally included, excluding rerupture after conservative treatment, history of Achilles tendon surgery at other hospitals, and postoperative infection cases. The re-rupture rate was 2.1% after suturing and 3.8% after plastic surgery. The most frequent time of re-rupture was 2 to 3 months after surgery, and re-rupture was often associated with removal of the brace. As for the situation at the time of re-rupture, the most injuries were caused by tripping on steps or stairs. The risk factor for re-rupture was not significantly different for any of the items. The risk factor of Achilles tendon rupture reported so far was different from the risk factor of re-rupture in this study. Postoperative re-rupture often occurred around 2-3 months after the operation, and the risk of re-rupture was considered high when the brace was removed.
Practice	Clinical surgery
Keywords	Achilles tendon, re-rupture, risk factor

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