内镜下腓骨上支持带重建术。
Endoscopic Superior Peroneal Retinaculum Reconstruction.
作者信息
Hau Wilson Wai Shun, Lui Tun Hing, Ngai Wai Kit
机构信息
Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.
出版信息
Arthrosc Tech. 2017 Dec 18;7(1):e45-e51. doi: 10.1016/j.eats.2017.08.050. eCollection 2018 Jan.
Abstract
Post-traumatic peroneal tendon subluxation or dislocation is most commonly due to injury to the superior peroneal retinaculum. Acute repair of the retinaculum is an option for active athletes who desire quick return of sport activity. In general, conventional open surgeries require extensive exposure of the injured superficial peroneal retinaculum and have potential risks of scar formation, sural nerve injury, limited range of movement, peroneal tendon re-subluxation, and tendon irritation. The purpose of this Technical Note is to describe the details of endoscopic superior peroneal retinaculum reconstruction. This has the advantages of minimally invasive surgery of better cosmesis, less soft tissue dissection, less postoperative pain, less peritendinous fibrosis, and less subjective tightness at peroneal tendons. The endoscopic view allows better assessment of retinaculum integrity, grading of injury, and detection of coexisting pathology.
摘要
创伤后腓骨肌腱半脱位或脱位最常见的原因是腓骨上支持带损伤。对于希望快速恢复运动的活跃运动员来说，支持带的急性修复是一种选择。一般来说，传统的开放手术需要广泛暴露受伤的腓骨浅支持带，并且存在形成瘢痕、腓肠神经损伤、活动范围受限、腓骨肌腱再半脱位和肌腱刺激等潜在风险。本技术说明的目的是描述内镜下腓骨上支持带重建的细节。这具有微创手术的优点，包括更好的美容效果、更少的软组织剥离、更少的术后疼痛、更少的腱周纤维化以及腓骨肌腱处更少的主观紧绷感。内镜视野有助于更好地评估支持带的完整性、损伤分级以及发现并存的病变。
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