超声引导下跗骨管减压手术：一种治疗近端跗骨管综合征的新技术——第二部分
Ultrasound-guided decompression surgery of the tarsal tunnel: a novel technique for the proximal tarsal tunnel syndrome-Part II.
作者信息
Fernández-Gibello Alejandro, Moroni Simone, Camuñas Gabriel, Montes Rubén, Zwierzina Marit, Tasch Christoph, Starke Vasco, Sañudo José, Vazquez Teresa, Konschake Marko
机构信息
Faculty of Health Sciences, Department of Podiatry, University of La Salle, Clinic Vitruvio Biomecánica, Madrid, Spain.
Faculty of Health Sciences at Manresa, Department of Podiatry, Universitat de Vic-Universitat Central de Catalunya (UVic-Ucc), Clinic Vitruvio Biomecánica, Barcelona, Madrid, Spain.
出版信息
Surg Radiol Anat. 2019 Jan;41(1):43-51. doi: 10.1007/s00276-018-2127-9. Epub 2018 Oct 31.
BACKGROUND
The aim of this study is to provide a safe ultrasound-guided minimally invasive surgical approach for a proximal tarsal tunnel release concerning nerve entrapments.
METHODS AND RESULTS
The study was carried out on ten fresh-frozen feet. All of them were examined by high resolution ultrasound at the medial ankle region. The surgical approach was marked throughout the course of the flexor retinaculum (laciniate ligament). Once the previous steps were done, the flexor retinaculum release technique was carried out with a 2-mm entry only. As a result, an effective and safe release of the flexor retinaculum was obtained in all fresh-frozen feet.
CONCLUSION
The results of our anatomic study indicate that our novel ultrasound-guided minimally invasive surgical approach for the release of the flexor retinaculum might be an effective, safe and quick decompression technique treating selected patients with a proximal tarsal tunnel syndrome.
背景
本研究的目的是为涉及神经卡压的跗管近端松解术提供一种安全的超声引导下微创外科手术方法。
方法与结果
对10只新鲜冷冻足进行了研究。所有足均在内踝区域接受高分辨率超声检查。在整个屈肌支持带（分裂韧带）走行过程中标记手术入路。完成前期步骤后，仅通过2毫米的切口进行屈肌支持带松解技术操作。结果，在所有新鲜冷冻足中均实现了屈肌支持带的有效且安全的松解。
结论
我们的解剖学研究结果表明，我们用于屈肌支持带松解的新型超声引导下微创外科手术方法可能是一种治疗特定跗管近端综合征患者的有效、安全且快速的减压技术。
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