同种异体胫骨前肌移植治疗慢性跟腱断裂：一项2年随访研究
Management of Chronic Achilles Tendon Rupture with Tibialis Anterior Allograft: A 2-Year Follow-up Study.
作者信息
Bhagunde Prasad, Modi Nihar, Gunay Siddharth, Shah Damini
机构信息
Department of Orthopaedics, Sona Medical Centre, Mumbai, Maharashtra, India.
Department of Orthopaedics, Saifee Hospital, Mumbai, Maharashtra, India.
出版信息
J Orthop Case Rep. 2025 May;15(5):114-118. doi: 10.13107/jocr.2025.v15.i05.5576.
INTRODUCTION
Chronic Achilles tendon ruptures are challenging to manage, particularly in older patients. This report describes the surgical repair of a chronic rupture using a tibialis anterior allograft in a 61-year-old male, emphasizing the technique and outcomes of this approach.
CASE REPORT
A 60-year-old male with a 3-month-old Achilles tendon rupture presented with difficulty in walking, pain, and functional impairment. Imaging revealed a 2 cm gap. Surgical management included debridement and reconstruction using a tibialis anterior allograft anchored transversally through the calcaneus. At 2 years postoperatively, the patient had a full ankle range of motion, pain-free ambulation, and restored functionality.
CONCLUSION
Tibialis anterior allograft is a viable option for reconstructing chronic Achilles tendon ruptures with smaller gaps in older patients. It offers reliable functional recovery while minimizing the morbidity associated with autografts.
引言
慢性跟腱断裂的治疗具有挑战性，尤其是在老年患者中。本报告描述了一名61岁男性慢性跟腱断裂采用胫骨前肌同种异体移植进行手术修复的情况，重点介绍了该方法的技术和效果。
病例报告
一名60岁男性，跟腱断裂3个月，出现行走困难、疼痛和功能障碍。影像学检查显示有2厘米的间隙。手术治疗包括清创和使用通过跟骨横向固定的胫骨前肌同种异体移植物进行重建。术后2年，患者踝关节活动范围正常，无痛行走，功能恢复。
结论
胫骨前肌同种异体移植是老年患者中较小间隙慢性跟腱断裂重建的可行选择。它能提供可靠的功能恢复，同时将与自体移植相关的发病率降至最低。
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