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股四头肌肌腱翻转术治疗慢性股四头肌肌腱功能不全：手术技术

Quadriceps Tendon Turndown for the Treatment of Chronic Quadriceps Tendon Insufficiency: Surgical Technique.

作者信息

White Alexander E, Uppstrom Tyler J, Pascual-Leone Nicolas, Bryan Matthew R, Taylor Samuel A

机构信息

Department of Sports Medicine, Hospital for Special Surgery, New York, New York, U.S.A.

Harvard Medical School, Boston, Massachusetts, U.S.A.

出版信息

Arthrosc Tech. 2024 Nov 19;14(4):103338. doi: 10.1016/j.eats.2024.103338. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103338
PMID:40452969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126019/
Abstract

Quadriceps tendon tears are a common injury that are often treated in the chronic setting. Significant tendon retraction and scar tissue formation in the chronic setting leads to inferior outcomes after surgical treatment for these injuries compared to those treated in the acute setting. Although numerous treatment strategies for chronic quadriceps tendon insufficiency have been described, there remains no clear consensus on the standard of treatment. This technical note describes our preferred surgical approach for select cases of chronic quadriceps insufficiency with the use of a pedicled quadriceps tendon autograft in a quadriceps turndown technique.

摘要

股四头肌肌腱撕裂是一种常见损伤，常在慢性情况下进行治疗。与急性损伤相比，慢性情况下明显的肌腱回缩和瘢痕组织形成会导致这些损伤手术治疗后的效果较差。尽管已经描述了多种治疗慢性股四头肌肌腱功能不全的策略，但在治疗标准上仍未达成明确共识。本技术说明描述了我们对于某些慢性股四头肌功能不全病例的首选手术方法，即采用股四头肌翻转技术使用带蒂股四头肌肌腱自体移植。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/494e/12126019/e25897766ee3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/494e/12126019/c1db45edac62/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/494e/12126019/e25897766ee3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/494e/12126019/c1db45edac62/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/494e/12126019/e25897766ee3/gr2.jpg

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本文引用的文献

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Chronic Quadriceps Tendon Ruptures: Primary Repair of Quadriceps Via Bioaugmentation and Patellar Tendon Lengthening.慢性股四头肌肌腱断裂：通过生物增强和髌腱延长术对股四头肌进行一期修复
Arthrosc Tech. 2022 Jun 14;11(7):e1209-e1217. doi: 10.1016/j.eats.2022.03.002. eCollection 2022 Jul.
2
Management of Chronic Quadriceps Tendon Rupture: A Critical Analysis Review.慢性股四头肌肌腱断裂的管理：一项批判性分析综述
JBJS Rev. 2021 May 6;9(5):01874474-202105000-00003. doi: e20.00096.
3
Management of chronic quadriceps rupture with novel "chariot suture technique": A case report and review.
采用新型“战车缝合技术”治疗慢性股四头肌断裂：一例报告及文献复习
J Clin Orthop Trauma. 2020 Jun 26;14:142-144. doi: 10.1016/j.jcot.2020.06.009. eCollection 2021 Mar.
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Trauma Case Rep. 2021 Feb 18;32:100437. doi: 10.1016/j.tcr.2021.100437. eCollection 2021 Apr.
5
V-Y turndown flap augmentation for acute quadriceps rupture after total knee arthroplasty: a prospective matched cohort study.全膝关节置换术后急性股四头肌断裂行 V-Y 翻转皮瓣修补术：一项前瞻性配对队列研究。
Int Orthop. 2021 Jun;45(6):1501-1507. doi: 10.1007/s00264-021-04939-0. Epub 2021 Jan 13.
6
Outcomes following quadriceps tendon repair using transosseous tunnels versus suture anchors: A systematic review.经骨隧道与缝线锚钉修复股四头肌腱的结果比较：系统评价。
Injury. 2021 Mar;52(3):339-344. doi: 10.1016/j.injury.2020.10.020. Epub 2020 Oct 5.
7
Surgical Treatment of Chronic Rupture of the Quadriceps Using a Modified Pulvertaft Weave Technique.采用改良的普尔弗塔夫编织技术治疗股四头肌慢性断裂
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8
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J Bone Joint Surg Am. 2018 Aug 1;100(15):1309-1318. doi: 10.2106/JBJS.17.01165.