股四头肌自体移植治疗跟腱慢性撕裂：一种简单的手术技术。
Quadriceps autograft to treat Achilles Chronic tears: a simple surgical technique.
作者信息
Arriaza Rafael, Gayoso Raquel, López-Vidriero Emilio, Aizpurúa Jesús, Agrasar Carlos
机构信息
Instituto Médico Arriaza y Asociados, Calle Enrique Mariñas, 32, 15008, La Coruña, Spain.
Cátedra de Traumatología del Deporte HM, Universidade da Coruña, Avenida Che Guevara 121, Oleiros, 15179, A Coruña, Spain.
出版信息
BMC Musculoskelet Disord. 2016 Mar 5;17:116. doi: 10.1186/s12891-016-0967-1.
BACKGROUND
Chronic Achilles tendon tears could hinder patients and represent a challenge to surgeons. Although many different surgical techniques have been proposed for reconstruction of a neglected Achilles tendon rupture, there is no clear evidence to support one technique over the others, but the use of a technique that could allow for an "anatomical" reconstructions seems desirable.
METHODS
The present paper describes a new anatomic Achilles tendon reconstruction for chronic tears, using a quadriceps tendon autograft as graft source, with PRP injected into the graft and the neighbor tissue, and fixation in a bone trough with a simple small fragments screw.
RESULTS
Autologous quadriceps tendon graft seems an excellent option, although -surprisingly- has received little attention until now.
CONCLUSIONS
Autologous Quadriceps tendon graft (in bone-tendon configuration) is a simple technique that could allow surgeons to reconstruct tissue defects in the Achilles tendon with non-expensive hardware.
背景
慢性跟腱撕裂会给患者带来困扰，对外科医生而言也是一项挑战。尽管已提出多种不同的手术技术用于重建被忽视的跟腱断裂，但尚无明确证据支持某一种技术优于其他技术，不过采用能实现“解剖学”重建的技术似乎是可取的。
方法
本文描述了一种用于慢性跟腱撕裂的新型解剖学跟腱重建方法，使用股四头肌肌腱自体移植物作为移植物来源，将富血小板血浆（PRP）注入移植物和邻近组织，并使用一枚简单的小碎片螺钉固定于骨槽内。
结果
自体股四头肌肌腱移植物似乎是一个极佳的选择，尽管令人惊讶的是，到目前为止它很少受到关注。
结论
自体股四头肌肌腱移植物（骨 - 肌腱构型）是一种简单的技术，可让外科医生使用价格低廉的器械重建跟腱中的组织缺损。
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