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半比目鱼肌旋转皮瓣为慢性伸肌机制破坏的治疗提供了一种全新的自体移植重建的优质选择。

The hemisoleus rotational flap provides a novel superior autograft reconstructive option for the treatment of chronic extensor mechanism disruption.

作者信息

Auregan Jean-Charles, Lin James D, Lombardi Joseph M, Jang Eugene, Macaulay William, Rosenwasser Melvin P

机构信息

Department of Orthopaedic Surgery, Antoine Béclère Hospital, Clamart, France.

Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY, USA.

出版信息

Arthroplast Today. 2016 Feb 26;2(2):49-52. doi: 10.1016/j.artd.2016.01.001. eCollection 2016 Jun.

DOI:10.1016/j.artd.2016.01.001
PMID:28326398
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4957171/
Abstract

Chronic disruption of the extensor mechanism is a devastating problem after total knee arthroplasty. Quadriceps tendon ruptures occur at an estimated 0.1% prevalence in the setting of total knee arthroplasty. Complete tears of the quadriceps tendon generally have poor results and high rates of rerupture. We present a case of a quadriceps tendon rupture after total knee arthroplasty which reruptured after initial direct repair. The patient presented to us with a chronically retracted rerupture and was subsequently reconstructed successfully with a novel extended medial gastrocnemius-soleus-calcaneus local rotational pedicle flap.

摘要

伸肌机制的慢性破坏是全膝关节置换术后一个极具破坏性的问题。在全膝关节置换的情况下,股四头肌肌腱断裂的发生率估计为0.1%。股四头肌肌腱的完全撕裂通常预后较差且再断裂率较高。我们报告一例全膝关节置换术后股四头肌肌腱断裂的病例,该病例在初次直接修复后再次断裂。该患者因慢性回缩性再断裂前来就诊,随后采用一种新型的延长内侧腓肠肌-比目鱼肌-跟骨局部旋转带蒂皮瓣成功进行了重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/60a3aeff73c0/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/8f0b8524fc2a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/1fd471b19d09/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/a2c41ea56cb1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/47ab5bdfb19f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/7f5a412979aa/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/070802cc8e29/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/bc40e7536c01/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/3dbb68af6fe7/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/60a3aeff73c0/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/8f0b8524fc2a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/1fd471b19d09/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/a2c41ea56cb1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/47ab5bdfb19f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/7f5a412979aa/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/070802cc8e29/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/bc40e7536c01/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/3dbb68af6fe7/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/561a/4957171/60a3aeff73c0/gr9.jpg

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本文引用的文献

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Extensor mechanism allograft reconstruction after total knee arthroplasty.全膝关节置换术后伸肌机制同种异体移植重建
J Arthroplasty. 2008 Oct;23(7 Suppl):35-8. doi: 10.1016/j.arth.2008.06.016.
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Quadriceps tendon rupture after total knee arthroplasty. Prevalence, complications, and outcomes.全膝关节置换术后股四头肌肌腱断裂。患病率、并发症及预后。
全膝关节置换术中常用皮瓣愈合率与并发症发生率的比较:文献综述
Knee Surg Relat Res. 2022 Mar 26;34(1):15. doi: 10.1186/s43019-022-00145-3.
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Complex ruptures of the quadriceps tendon: a systematic review of surgical procedures and outcomes.复杂性股四头肌腱断裂:手术方法和结果的系统评价。
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Extensor mechanism allografts in total knee arthroplasty.全膝关节置换术中的伸肌机制同种异体移植
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