采用同步肌腱转移重建胫骨前肌肌腱

IF 0.1 Q4 ORTHOPEDICS
Augusto Roca Fernández, Rajul Gupta, Brian Johnson, Richard M. Smith, Richard T. Laughlin
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引用次数: 0

摘要

胫骨前腱断裂或撕裂是罕见的情况,没有普遍接受的治疗。先前报道的方法描述了端到端修复、拇长伸肌转移和异体移植物间位移植物。本文的目的是描述一种重建胫骨前腱的技术,通过转移指长伸肌(EDL)的内侧肌腱来跨越任何间隙或病变肌腱。此外,EDL的外侧2肌腱被转移到腓骨三头肌,以平衡背屈,防止在EDL肌腱保留的情况下第4和第5趾的过拉。使用EDL重建胫骨前肌提供了一个同步肌腱转移,导致踝关节对称背屈。此外,EDL是具有肥大能力的正常肌肉,它补充了损伤的胫骨前肌的肌肉力量,胫骨前肌在损伤和修复之间经常萎缩。证据等级:诊断性v级。参见《作者指南》获得证据等级的完整描述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reconstruction of the Anterior Tibialis Tendon Using In-phase Tendon Transfers
Anterior tibialis tendon ruptures or lacerations are rare conditions that do not have a universally accepted treatment. Previously reported methods have described end-to-end repair, transfer of the extensor hallucis longus, and allograft interposition graft. The purpose of this paper is to describe a technique for reconstruction of the anterior tibialis tendon with a transfer of the medial 2 tendons of the extensor digitorum longus (EDL) to span any gaps or diseased tendon. In addition, the lateral 2 tendons of the EDL are transferred to the peroneus tertius to balance dorsiflexion and prevent overpull on the fourth and fifth toes if the EDL tendons are left in place. Using the EDL to reconstruct the anterior tibialis provides an in-phase tendon transfer resulting in symmetric dorsiflexion at the ankle. In addition, the EDL is a normal muscle with the capacity for hypertrophy, which supplements the muscle power of the injured anterior tibialis which often atrophies in the interim between injury and repair. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
18
期刊介绍: Techniques in Foot & Ankle Surgery offers a unique opportunity to master the most innovative and successful surgical techniques for correction of foot and ankle disorders. Featuring contributions from the world"s foremost orthopaedic surgeons and podiatrists, this quarterly journal supplies step-by-step details on these techniques. The contributors explain the rationale, indications, and contraindications for each procedure, identify the pitfalls and potential complications, and provide invaluable tips for improving results. The journal is illustrated cover to cover with intraoperative photographs and drawings, including several in full color.
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