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采用游离自体半腱肌腱转位微创切除与重建跟腱黄色瘤:一种手术技术。

Minimally invasive excision and reconstruction of Achilles tendon xanthoma using free autologous semitendinosus tendon transfer: a surgical technique.

机构信息

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081, Baronissi, Salerno, Italy.

Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH University Hospital, Pauwelsstraße 30, 52074, Aachen, Germany.

出版信息

J Orthop Surg Res. 2023 Apr 4;18(1):274. doi: 10.1186/s13018-023-03757-x.

Abstract

BACKGROUND

Tendon xanthomatosis is often associated with familial hypercholesterolemia, but it can also occur in other medical conditions. The Achilles tendon is the most common site of tendon xanthomas. Reconstruction of large defects after the xanthoma excision, can be challenging.

METHODS

We propose a novel technique for Achilles tendon reconstruction with the use of an ipsilateral autologous semitendinosus tendon graft. The technique consists of six steps.

RESULTS

This procedure has a low rate of complications and provides results that are at least comparable with those reported with other surgical approaches.

摘要

背景

腱黄瘤病常与家族性高胆固醇血症相关,但也可发生于其他疾病。跟腱是腱黄瘤最常见的发病部位。切除黄瘤后,重建大的缺损具有挑战性。

方法

我们提出了一种使用同侧自体半腱肌腱移植物重建跟腱的新方法。该技术包括六个步骤。

结果

该手术并发症发生率低,其结果至少与其他手术方法报道的结果相当。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e719/10071761/804ad48b8b8c/13018_2023_3757_Fig1_HTML.jpg

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