Kontogeorgakos Vasileios, Koutalos Antonios, Hantes Michael, Manoudis Gregory, Badras Leonidas, Malizos Konstantinos
Department of Orthopaedic Surgery and Musculoskeletal Trauma, Faculty of Medicine, School of Health Sciences, University Hospital of Thessalia, 41110, Larissa, Greece,
Knee Surg Sports Traumatol Arthrosc. 2015 Mar;23(3):875-8. doi: 10.1007/s00167-013-2544-6. Epub 2013 Jun 5.
A novel technique for managing ruptured tibialis anterior tendon complicated by infection and tendon substance loss in a young adult is described. A two-stage reconstruction technique with a silicon tube and tendon autograft was performed. At first, after local control of the infection, scar excision and placement of a silicone tube was performed. Ten weeks later, ipsilateral hamstrings tendons were harvested and bridged the 7 cm tendon gap. Eighteen months later, the patient has excellent clinical and functional outcome.
本文描述了一种用于治疗年轻成人胫前肌腱断裂并伴有感染和肌腱实质缺损的新技术。采用了带硅胶管和自体肌腱移植的两阶段重建技术。首先，在局部控制感染后，进行瘢痕切除并置入硅胶管。十周后，采集同侧腘绳肌腱并桥接7厘米的肌腱缺损。十八个月后，患者获得了优异的临床和功能结果。
