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采用胫骨前肌同种异体移植重建慢性肱二头肌远端肌腱撕裂

Chronic Distal Biceps Tendon Tear Reconstruction With Tibialis Anterior Allograft.

作者信息

Mirzayan Raffy, Mills Emily S

机构信息

Department of Orthopaedics, 1. Kaiser Permanente Southern California, Baldwin Park, California, U.S.A.

Department of Orthopaedics, University of Southern California Keck School of Medicine, Los Angeles, California, U.S.A.

出版信息

Arthrosc Tech. 2021 Jul 13;10(8):e1935-e1941. doi: 10.1016/j.eats.2021.04.017. eCollection 2021 Aug.

Abstract

Chronic distal biceps tendon ruptures present a unique surgical challenge due to tendon retraction and shortening as well as muscle atrophy. Several graft choices and fixation methods have been described, with no one technique proving superior to date. We describe a technique wherein a tibialis anterior tendon allograft is Pulver-Taft weaved through the muscle belly to achieve incorporation with the muscle and tendonous fascia to achieve superior pull-out strength.

摘要

由于肌腱回缩、缩短以及肌肉萎缩,慢性肱二头肌远端肌腱断裂带来了独特的手术挑战。已经描述了几种移植选择和固定方法,但迄今为止没有一种技术被证明更具优势。我们描述了一种技术,即通过肌肉腹将胫前肌腱同种异体移植物进行Pulver-Taft编织,以实现与肌肉和肌腱筋膜的融合,从而获得更好的拔出强度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc2/8355415/afdc790c6d7e/gr1.jpg

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