骨科手术早知道147：跟腱断裂与修补病人指南（ Achilles Tendon Tear & Repair）
跟腱是人体中最强有力的肌腱，它将小腿肌肉连接到足跟。当跟腱断裂时可能会听到很响的“啪”的声音。你可能会感到突然断裂，随之出现疼痛、肿胀和淤青。你可能没法踮起脚尖，抬起脚后跟或正常行走。
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A Patient's Guide To Achilles Tendon Tear and Repair
跟腱断裂和修补患者指南
The Achilles Tendon ruptures most commonly occur in men between the ages of 30 and 50 years,usually during sports, such as tennis, basketball and football.
跟腱断裂常常发生于30～50岁的男性，往往发生于体育运动中，比如网球、篮球和足球等运动。
The Achilles Tendon is the most powerful tendon in human body. It connects the calf muscles to the heel. A loud "Pop" maybe heard when the Achilles tendon ruptures.You may feel a sudden "snap", follow by pain, swellening and discoloration. You maybe unable to point to your toes, raise heel and walk normally.
跟腱是人体中最强有力的肌腱，它将小腿肌肉连接到足跟。当跟腱断裂时可能会听到很响的“啪”的声音。你可能会感到突然断裂，随之出现疼痛、肿胀和淤青。你可能没法踮起脚尖，抬起脚后跟或正常行走。
Surgery is recommend for active people who want to return to vigorous activities.
对于想恢复剧烈活动的人建议进行手术治疗。
Surgical treatment lowers the risks of tendon re-rupture and increases the chances for regaining for leg strength.
手术能够降低跟腱再次断裂的风险，增加重获下肢力量的机会。
Let's take a look at Achilles tendon repair surgery.
让我们来看一下跟腱修补手术。
An incision is made over the reptured tendon area. The tendon ends secure together with sutures. The incision is closed and bandaged.
在撕裂跟腱区域表面作一个切口。将肌腱断端缝合固定在一起。最后关闭切口，并包扎。
A protect spring is applied. You will wear a cast or a splint for 4 to 6 weeks while the tendon heals. Physical threapy exercises will help you regain motion and strength. Most people can resume walking and swimming after 6 weeks, and reture to sports several monthes after surgery.
术后需要使用施普林夹板。在肌腱愈合过程中，你需要带支具或夹板4~6周。物理治疗练习有助于您改善活动功能和力量。大多数人术后6周可恢复行走和游泳，术后数月可以重返运动场。
（胡佰文 听译）
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