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非吸收性缝线修复跟腱后导致的肉芽肿形成

Granuloma formation secondary to Achilles tendon repair with nonabsorbable suture.

作者信息

Kara Adnan, Celik Haluk, Seker Ali, Uysal Mehmet Ali, Uzun Metin, Malkoc Melih

机构信息

Istanbul Medipol University Medical Faculty Department of Orthopaedics and Traumatology, Istanbul, Turkey.

Sisli Etfal Training and Research Hospital Orthopaedics and Traumatology Clinic, Istanbul, Turkey.

出版信息

Int J Surg Case Rep. 2014;5(10):720-2. doi: 10.1016/j.ijscr.2014.07.026. Epub 2014 Aug 7.

DOI:10.1016/j.ijscr.2014.07.026
PMID:25212905
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4189067/
Abstract

INTRODUCTION

Several complications can be observed after Achilles tendon repairs. In this study we aimed to report granuloma formation secondary to Achilles tendon repair with Ethibond (Ethicon INC, Somerville, New Jersey) suture.

PRESENTATION OF CASE

A 31 year-old man operated for Achilles tendon rupture. The Ethibond suture was used for primary repair. The patient attended to polyclinic with the complaints of swelling and discharge around the operation site four months after operation. A mass around distal portion of the Achilles tendon was detected. The granulomatous tissue was excised. Inside the mass Ethibond suture was detected. On histopathologic examination, typical findings of the foreign body reaction were observed. No microorganism was cultivated in the tissue culture. The patient has no complaint on the twelfth month control after surgery.

DISCUSSION

The results of primary repair of Achilles tendon are good but several complications were reported. In tendon repairs generally nonabsorbable sutures are used. The Ethibond is nonabsorbable, braided suture. In the literature, granuloma formations secondary to the suture materials such as polygylactine and braided polyethylen-polyester after Achilles tendon repair were reported but granuloma secondary to the Ethibond is very rare.

CONCLUSION

Although Ethibond suture is a strong and safe material for Achilles tendon repairs it may cause soft tissue problems such as granuloma.

摘要

引言

跟腱修复术后可能会出现多种并发症。在本研究中，我们旨在报告使用Ethibond（Ethicon公司，新泽西州萨默维尔）缝线进行跟腱修复后继发的肉芽肿形成情况。

病例介绍

一名31岁男性因跟腱断裂接受手术。采用Ethibond缝线进行一期修复。术后四个月，患者因手术部位周围肿胀和渗液到门诊就诊。在跟腱远端发现一个肿块。切除肉芽肿组织后，在肿块内部发现了Ethibond缝线。组织病理学检查观察到典型的异物反应表现。组织培养未培养出微生物。术后十二个月复查时患者无不适主诉。

讨论

跟腱一期修复效果良好，但也有多种并发症的报道。肌腱修复通常使用不可吸收缝线。Ethibond是一种不可吸收的编织缝线。文献报道过跟腱修复后聚乙交酯和编织聚乙烯 - 聚酯等缝线材料继发肉芽肿形成，但Ethibond继发的肉芽肿非常罕见。

结论

尽管Ethibond缝线对于跟腱修复是一种坚固且安全的材料，但它可能会引起诸如肉芽肿等软组织问题

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25c9/4189067/d0388e7d3c2b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25c9/4189067/a9531b274a99/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25c9/4189067/81d618ee86c0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25c9/4189067/a5e0ff140f5a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25c9/4189067/d0388e7d3c2b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25c9/4189067/a9531b274a99/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25c9/4189067/81d618ee86c0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25c9/4189067/a5e0ff140f5a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25c9/4189067/d0388e7d3c2b/gr4.jpg

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1
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Foot Ankle Surg. 2014 Jun;20(2):e27-9. doi: 10.1016/j.fas.2014.01.006. Epub 2014 Feb 15.
2
Palmar granuloma following flexor tendon repair using Ticron: a case for absorbable suture material?经 Ticron 修复屈肌腱后出现掌部肉芽肿：可吸收缝线材料的适应证？
J Plast Reconstr Aesthet Surg. 2011 Mar;64(3):409-11. doi: 10.1016/j.bjps.2010.04.015. Epub 2010 May 14.
3
Biologic response to orthopedic sutures: a histologic study in a rabbit model.
Clinical Features and Treatment of Intra-Tendinous Suture Reaction Following Achilles Tendon Repair Using Nonabsorbable Suture Material: A Retrospective Case Series Study.
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4
Comparison of Two Laparoscopic Techniques in Management of Pediatric Inguinal Hernias.两种腹腔镜技术治疗小儿腹股沟疝的比较。
J Laparoendosc Adv Surg Tech A. 2022 Oct;32(10):1114-1120. doi: 10.1089/lap.2022.0102. Epub 2022 Jun 14.
5
Delayed Wound Healing After Achilles Tendon Suture: An Arthroscopic Solution.跟腱缝合术后伤口愈合延迟：一种关节镜解决方案。
Arthrosc Tech. 2022 Feb 18;11(3):e397-e402. doi: 10.1016/j.eats.2021.11.007. eCollection 2022 Mar.
6
[Application of channel-assisted minimally invasive repair system in Myerson types and chronic Achilles tendon rupture].通道辅助微创修复系统在迈尔森分型及慢性跟腱断裂中的应用
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8
Comparison of channel-assisted minimally invasive repair and 3 common Achilles tendon restoration techniques.通道辅助微创修复与3种常见跟腱修复技术的比较。
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10
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骨科缝线的生物学反应：兔模型的组织学研究
Orthopedics. 2009 Nov;32(11):828. doi: 10.3928/01477447-20090922-11.
4
[Evaluation of soft tissue reactions to three nonabsorbable suture materials in a rabbit model].[兔模型中三种不可吸收缝合材料的软组织反应评估]
Acta Orthop Traumatol Turc. 2009 Aug-Oct;43(4):366-72. doi: 10.3944/AOTT.2009.366.
5
[Aseptic drainage associated with polyglactine sutures used for repair of Achilles tendon ruptures].[用于跟腱断裂修复的聚乙醇酸缝线相关的无菌引流]
Acta Orthop Traumatol Turc. 2008 Mar-Apr;42(2):135-8. doi: 10.3944/aott.2008.42.2.135.
6
Wound complications after open Achilles tendon repair: an analysis of risk factors.开放性跟腱修复术后的伤口并发症：危险因素分析
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7
Late foreign-body reaction to Ticron sutures following inferior capsular shift: a case report.
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8
Nonoperative treatment of acute rupture of the achilles tendon: results of a new protocol and comparison with operative treatment.跟腱急性断裂的非手术治疗：一种新方案的结果及与手术治疗的比较
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9
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10
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