Marty Eric, Genuario James, Aretakis Alexander, Shinsako Kevin, Frank Rachel M
Department of Orthopedic Surgery, University of Colorado School of Medicine, Aurora, Colorado.
JBJS Case Connect. 2023 Jan 27;13(1). doi: e22.00429. eCollection 2023 Jan 1.
We present a case of a 48-year-old man with a subacute tear of his left rectus femoris, repaired using Achilles tendon allograft. After fixation distally to the patella using suture anchors and a Krackow suture technique, the allograft was fixed proximally to the remnant rectus femoris tendon with multiple sutures in a variety of stitch configurations. The patient recovered excellently, regaining near-normal flexion and an intact straight leg raise without an extensor lag.
The literature regarding repair of subacute and chronic rectus femoris ruptures is limited. We provide an additional option for operative repair of subacute and chronic ruptures using Achilles tendon allograft.
我们报告一例48岁男性，其左股直肌发生亚急性撕裂，采用跟腱同种异体移植进行修复。在使用缝线锚钉和Krackow缝合技术将移植物远端固定于髌骨后，采用多种缝合方式用多根缝线将同种异体移植物近端固定于股直肌残端肌腱。患者恢复良好，恢复了接近正常的屈曲功能，直腿抬高功能完整，无伸肌滞后。
关于亚急性和慢性股直肌断裂修复的文献有限。我们提供了一种使用跟腱同种异体移植手术修复亚急性和慢性断裂的额外选择。
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