慢性跟腱断裂后 12cm 肌腱缺损的挽救性重建-15 年随访：病例报告。
Salvage Reconstruction of a 12-cm Tendon Defect Following Chronic Achilles Rerupture-15-Year Follow-Up: A Case Report.
机构信息
Division of Foot & Ankle Surgery, Department of Orthopaedic Surgery, Emory University, Atlanta, Georgia.
出版信息
JBJS Case Connect. 2024 May 31;14(2). doi: e23.00603. eCollection 2024 Apr 1.
CASE
A 39-year-old man with a chronic Achilles rupture status post (1) failed primary repair and (2) secondary xenograft repair with graft rejection, resulting in a 12-cm Achilles tendon defect, which was reconstructed utilizing an Achilles bone block allograft and flexor hallucis longus (FHL) tendon transfer. At 15-year follow-up, the patient reported good functionality and satisfaction with the repair, with positive patient-reported outcome measures. Physical examination revealed excellent strength and range of motion. Magnetic resonance imaging confirmed the integrity and incorporation of the Achilles/FHL graft composite.
CONCLUSION
This case study provides valuable insight into successful long-term management of complex chronic Achilles ruptures with large defects.
病例
一名 39 岁男子，患有慢性跟腱断裂，病史如下：(1)初次修复失败，(2)异体移植修复后排斥，导致跟腱缺损 12cm，采用跟腱骨块同种异体移植物和踇长屈肌腱转移进行重建。15 年随访时，患者报告修复后功能良好，满意度高，患者报告结局测量指标为阳性。体格检查显示，力量和活动度均良好。磁共振成像证实了跟腱/踇长屈肌腱移植物复合结构的完整性和融合。
结论
本病例研究为成功治疗复杂慢性跟腱断裂伴大缺损提供了有价值的见解。
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