Christman-Skieller Claudia, Merz Michael K, Tansey Joseph P
Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA.
Am J Orthop (Belle Mead NJ). 2015 Apr;44(4):E94-9.
Tibialis anterior (TA) tendon rupture is a relatively rare injury that has been documented primarily in case reports. This article is the first large systematic review of the literature on treatment techniques for subcutaneous rupture of TA tendons. Studies for review were identified through a PubMed search. Eligible studies involved cases of closed tendon rupture. Of the 87 cases in the study, 72 were treated with surgery, 15 with conservative measures. Mean age was 63.9 years (surgery group) and 72.4 years (conservative treatment group). Primary repair was used most often for newer injuries, autograft most often for older injuries. Operative repair of subcutaneous TA tendon rupture leads to successful outcomes in many patients. A surgeon who is deciding which operative technique to use for a patient should consider the age of the injury and the findings of intraoperative assessment for tendon necrosis.
胫骨前肌腱断裂是一种相对罕见的损伤，主要在病例报告中有所记载。本文是对胫骨前肌腱皮下断裂治疗技术文献的首次大型系统综述。通过PubMed搜索确定了用于综述的研究。符合条件的研究涉及闭合性肌腱断裂病例。在该研究的87例病例中，72例接受了手术治疗，15例采取了保守治疗措施。平均年龄手术组为63.9岁，保守治疗组为72.4岁。对于较新的损伤，最常采用一期修复；对于较旧的损伤，最常采用自体移植。胫骨前肌腱皮下断裂的手术修复在许多患者中取得了成功的结果。决定为患者采用哪种手术技术的外科医生应考虑损伤的时间以及术中对肌腱坏死情况的评估结果。
