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一种用于拇长伸肌重建的联合手术方法：两例病例报告。

A Combined Surgical Approach for Extensor Hallucis Longus Reconstruction: Two Case Reports.

作者信息

Duarte Marta, Fradinho Nuno

机构信息

Department of Plastic Reconstructive and Aesthetic Surgery, Central Lisbon Hospital Centre, Lisbon, Portugal.

出版信息

Indian J Plast Surg. 2021 Apr;54(2):225-228. doi: 10.1055/s-0040-1721525. Epub 2020 Nov 30.

DOI:10.1055/s-0040-1721525
PMID:34239251
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8257318/
Abstract

The surgical management of foot tendon injuries is not well-represented in literature. To achieve excellent functional recovery of the extensor hallucis longus (EHL) tendon, we aimed at developing a reliable and feasible reconstructive technique. A surgical technique for delayed reconstruction of the EHL tendon, combining an elongation procedure with second toe extensor tendon transfer, is described in this article. The results of this combined approach for EHL tendon reconstruction were remarkable, since the patients of the two clinical cases reported regained active extension of the hallux after 6 months without any associated complication. This study represents a step forward in foot surgery, since it describes an alternative technique to manage EHL tendon lesions.

摘要

足部肌腱损伤的手术治疗在文献中鲜有报道。为实现拇长伸肌（EHL）肌腱的优异功能恢复，我们旨在开发一种可靠且可行的重建技术。本文描述了一种用于EHL肌腱延迟重建的手术技术，该技术将延长手术与第二趾伸肌腱转移相结合。这种EHL肌腱重建联合方法的效果显著，因为所报道的两例临床病例中的患者在6个月后恢复了拇趾的主动背伸，且无任何相关并发症。这项研究是足部手术的一大进步，因为它描述了一种治疗EHL肌腱损伤的替代技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba61/8257318/cc3d2b29319b/10-1055-s-0040-1721525_4_0505_07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba61/8257318/b50bced2ea42/10-1055-s-0040-1721525_4_0505_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba61/8257318/e99aa0007cd4/10-1055-s-0040-1721525_4_0505_02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba61/8257318/e20d2b109211/10-1055-s-0040-1721525_4_0505_03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba61/8257318/6d41b3821d9c/10-1055-s-0040-1721525_4_0505_04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba61/8257318/b506285d792d/10-1055-s-0040-1721525_4_0505_05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba61/8257318/3d4337f95085/10-1055-s-0040-1721525_4_0505_06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba61/8257318/cc3d2b29319b/10-1055-s-0040-1721525_4_0505_07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba61/8257318/b50bced2ea42/10-1055-s-0040-1721525_4_0505_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba61/8257318/e99aa0007cd4/10-1055-s-0040-1721525_4_0505_02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba61/8257318/e20d2b109211/10-1055-s-0040-1721525_4_0505_03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba61/8257318/6d41b3821d9c/10-1055-s-0040-1721525_4_0505_04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba61/8257318/b506285d792d/10-1055-s-0040-1721525_4_0505_05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba61/8257318/3d4337f95085/10-1055-s-0040-1721525_4_0505_06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba61/8257318/cc3d2b29319b/10-1055-s-0040-1721525_4_0505_07.jpg

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本文引用的文献

1
Repair of acute extensor hallucis longus tendon injuries: a retrospective review.急性拇长伸肌腱损伤的修复：一项回顾性研究。
Foot Ankle Spec. 2014 Feb;7(1):45-51. doi: 10.1177/1938640013514271. Epub 2013 Dec 10.
2
Tendon 'turnover lengthening' technique.肌腱“转换延长”技术。
J Plast Reconstr Aesthet Surg. 2013 Nov;66(11):1587-90. doi: 10.1016/j.bjps.2013.06.010. Epub 2013 Jun 27.
3
Surgical reconstruction and mobilization therapy for a retracted extensor hallucis longus laceration and tendon defect repaired by split extensor hallucis longus tendon lengthening and dermal scaffold augmentation.
采用拇长伸肌腱劈开延长及真皮支架增强修复拇长伸肌回缩性撕裂伤和肌腱缺损的手术重建及松动疗法
J Foot Ankle Surg. 2012 Jul-Aug;51(4):509-16. doi: 10.1053/j.jfas.2012.04.018. Epub 2012 May 30.
4
Reconstruction of a chronic extensor hallucis longus tendon laceration with a gracilis tendon autograft.采用股薄肌腱自体移植修复慢性拇长伸肌腱撕裂伤。
Orthopedics. 2008 Oct;31(10).
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Surgical treatment and results in 17 cases of open lacerations of the extensor hallucis longus tendon.17例拇长伸肌腱开放性撕裂伤的手术治疗及结果
J Plast Reconstr Aesthet Surg. 2007;60(4):360-7. doi: 10.1016/j.bjps.2006.05.003. Epub 2006 Jul 3.
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Nerve and tendon lacerations about the foot and ankle.足踝部的神经和肌腱撕裂伤。
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Extensor hallucis longus tenorrhaphy by using the Massachusetts General Hospital repair.采用麻省总医院修复法进行拇长伸肌腱缝合术。
J Foot Ankle Surg. 2004 Nov-Dec;43(6):412-8. doi: 10.1053/j.jfas.2004.09.011.
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Autogenous graft repair using semitendinous tendon for a chronic multifocal rupture of the extensor hallucis longus tendon: a case report.使用半腱肌腱自体移植修复拇长伸肌腱慢性多灶性断裂：一例报告
Foot Ankle Int. 2003 Jun;24(6):506-8. doi: 10.1177/107110070302400610.
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A new method of functional tendon transfer for the dysfunction of extensor hallucis longus.一种针对拇长伸肌功能障碍的功能性肌腱转移新方法。
Foot Ankle Int. 2002 Dec;23(12):1124-5. doi: 10.1177/107110070202301208.
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