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带跟腱骨块同种异体移植的股四头肌肌腱重建术

Quadriceps Tendon Reconstruction With Achilles Tendon Bone Block Allograft.

作者信息

Hoang Victor, Anthony Taylor, Quattrocelli Matt, Farina Evan, Meter Joseph, Lattermann Christian

机构信息

Brigham and Women's Hospital/Harvard Medical School, Boston, Massachusetts, U.S.A.

Touro University Nevada College of Osteopathic Medicine, Henderson, Nevada, U.S.A.

出版信息

Arthrosc Tech. 2022 Dec 21;12(1):e45-e52. doi: 10.1016/j.eats.2022.08.056. eCollection 2023 Jan.

DOI:10.1016/j.eats.2022.08.056
PMID:36814980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9939603/
Abstract

Chronic quadriceps tendon ruptures are relatively uncommon albeit debilitating injuries to the knee extensor mechanism. Previous literature demonstrates worse reported outcomes with delayed surgical intervention, and no gold-standard technique currently exists for managing chronic quadriceps tendon ruptures. The goal of this technique is to provide orthopaedic surgeons an additional option that may provide a greater mechanical load to failure and greater allograft acceptance for cases with large tendon gapping or poor tissue quality that may not be viable to other lengthening techniques. We describe the repair of a chronic quadriceps tendon rupture using an Achilles tendon bone block allograft.

摘要

慢性股四头肌肌腱断裂相对少见，却是膝关节伸肌机制的致残性损伤。既往文献表明，延迟手术干预的报道结果较差，目前尚无治疗慢性股四头肌肌腱断裂的金标准技术。本技术的目的是为骨科医生提供另一种选择，对于存在大的肌腱间隙或组织质量差而其他延长技术可能不可行的病例，该技术可能提供更大的机械负荷至失效，并提高同种异体移植物的接受度。我们描述了使用跟腱骨块同种异体移植物修复慢性股四头肌肌腱断裂的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/70a5af553a3a/gr19.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/70a5af553a3a/gr19.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/68ce2bd14f82/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/67a0d7d4afbc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/8f0065ae9ea3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/d9144c42033f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/f728d39830fb/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/2b9b0470d556/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/99aecb4d85d8/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/14d154a86e97/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/f5bca54c8e6a/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/68d9c4abe0c4/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/ed71f4a00021/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/41f4c06cca8b/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/eacfb0967a73/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/f4bcd2106ed1/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/3286ce3bcd96/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/67f6a6aca8a8/gr16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/46b7c9056e7c/gr17.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/2b501cb39225/gr18.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c23/9939603/70a5af553a3a/gr19.jpg

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