Fortius Clinic, London, England, UK.
Wrexham Maelor Hospital, Wrexham, Wales.
Knee Surg Sports Traumatol Arthrosc. 2019 Sep;27(9):2858-2862. doi: 10.1007/s00167-019-05451-0. Epub 2019 Mar 7.
Open plantaris tendon excision and ventral paratendinous stripping is a recognised treatment option in selected patients with non-insertional Achilles tendinopathy. The aim of this study was to develop a minimally invasive outpatient technique of ultrasound guided plantaris tendon release (UPTR).
A 19 gauge needle, 15 gauge scalpel blade, hook knife (Smith and Nephew, Boston, MA, USA) and a beaver blade (Arthrex, Naples, FL, USA), were used under ultrasound guidance to identify and divide the plantaris tendon in 12 cadaveric legs. Specimens were dissected to identify whether division of the plantaris tendon had been successful. UPTR was subsequently performed on patients.
The 15 gauge scalpel blade, hook knife (Smith and Nephew, Boston, MA, USA) and beaver blade (Arthrex, Naples, FL, USA) were all able to cut the plantaris tendon. However, on dissection the hook knife (Smith and Nephew, Boston MA) caused less damage to surrounding structures. Subsequently, the plantaris tendon was successfully divided in three patients using UPTR technique without complication.
UPTR is a viable technique for treating plantaris related non-insertional Achilles tendinopathy.
开放性跖肌腱切断术和跖肌腱腹侧部分切开术是治疗特定非止点跟腱炎患者的一种公认的治疗选择。本研究旨在开发一种微创门诊超声引导跖肌腱松解术（UPTR）技术。
在超声引导下使用 19 号针、15 号手术刀刀片、钩刀（Smith and Nephew，波士顿，MA，美国）和弯形骨刀（Arthrex，那不勒斯，FL，美国）来识别和切断 12 条尸体腿的跖肌腱。对标本进行解剖以确定跖肌腱是否成功切断。随后对患者进行 UPTR。
15 号手术刀刀片、钩刀（Smith and Nephew，波士顿，MA，美国）和弯形骨刀（Arthrex，那不勒斯，FL，美国）都能够切断跖肌腱。然而，在解剖过程中，钩刀（Smith and Nephew，波士顿 MA）对周围结构的损伤较小。随后，使用 UPTR 技术成功地在 3 名患者中切断了跖肌腱，没有并发症。
UPTR 是治疗跖肌腱相关非止点跟腱炎的一种可行技术。
