Zacchilli Michael A, Fowler Justin T, Owens Brett D
Department of Orthopedics and Rehabilitation, William Beaumont Army Medical Center, El Paso, TX, USA.
J Surg Orthop Adv. 2013 Spring;22(1):95-102. doi: 10.3113/jsoa.2013.0095.
In chronic pectoralis tendon tears, primary repair may not be possible and allograft reconstruction may be required. The goal of this study was to report the authors' experience with chronic pectoralis major tendon reconstructions using an Achilles tendon allograft in three military patients. Three consecutive patients presenting with chronic, complete pectoralis major tendon tears underwent reconstruction by a single surgeon using the same described technique at a mean of 22.2 months after initial injury. Final outcomes were assessed at a mean of 24.5 months postoperatively, yielding one excellent and two good results. All patients were satisfied. All patients returned to full active duty military service and recreational weight lifting by 6 months. Achilles allograft reconstruction of chronic pectoralis major tendon ruptures is a viable treatment option. Good to excellent results can be achieved in active patients, even when reconstruction is performed nearly 2 years from the time of injury.
在慢性胸大肌肌腱撕裂中，可能无法进行一期修复，可能需要同种异体移植重建。本研究的目的是报告作者使用跟腱同种异体移植对三名军事患者进行慢性胸大肌肌腱重建的经验。三名连续出现慢性、完全性胸大肌肌腱撕裂的患者由同一位外科医生采用相同的描述技术进行重建，平均在初次受伤后22.2个月。最终结果在术后平均24.5个月进行评估，结果为一例优秀和两例良好。所有患者均满意。所有患者在6个月时恢复了全职现役军事服务和娱乐性举重。跟腱同种异体移植重建慢性胸大肌肌腱断裂是一种可行的治疗选择。即使在受伤近2年后进行重建，活跃患者也能取得良好至优秀的结果。
