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屈肌腱止点转移术治疗小趾畸形。

Flexor tenodesis procedure in the treatment of lesser toe deformities.

机构信息

Department of Orthopaedic and Rehabilitation,Carver College of Medicine, University of Iowa, 200 Hawkins Dr, John Pappan John Pavillion (JPP), Room 01066, Lower Level, Iowa City, IA, 52242, USA.

Department of Orthopedics and Traumatology, Paulista School of Medicine, Federal University of Sao Paulo, Sao Paulo, SP, Brazil.

出版信息

Arch Orthop Trauma Surg. 2022 Nov;142(11):3125-3137. doi: 10.1007/s00402-021-03942-9. Epub 2021 May 11.

Abstract

In this technical report study, we describe the use of a flexor tenodesis procedure in the treatment of lesser toe deformities (LTD). Using a specific implant, both the flexor digitorum longus and brevis tendons are attached to the plantar aspect of the proximal phalanx, allowing dynamic correction of flexible deformities of metatarsophalangeal and interphalangeal joints. Good clinical results and absence of complications were observed in a series of 3 patients, with considerable correction of the LTD, and absence of substantial residual floating toe or metatarsophalangeal joint stiffness. LEVEL OF EVIDENCE: V - Technical Report/Case Report/Expert Opinion.

摘要

在这项技术报告研究中,我们描述了使用屈肌腱固定术治疗小趾畸形(LTD)的方法。使用特定的植入物,将趾长屈肌和趾短屈肌的肌腱附着到近节趾骨的足底侧,从而可以动态矫正跖趾关节和趾间关节的柔韧性畸形。在一系列 3 例患者中,观察到良好的临床结果和无并发症,LTD 得到了相当大的矫正,没有明显的残余浮动趾或跖趾关节僵硬。证据等级:V - 技术报告/病例报告/专家意见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9696/9522816/251b5fbd2cd5/402_2021_3942_Fig1_HTML.jpg

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