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成年患者慢性腘绳肌腱完全断裂的手术修复

Surgical repair of chronic complete hamstring tendon rupture in the adult patient.

作者信息

Cross M J, Vandersluis R, Wood D, Banff M

机构信息

North Sydney Orthopaedic and Sports Medicine Centre, NSW, Australia.

出版信息

Am J Sports Med. 1998 Nov-Dec;26(6):785-8. doi: 10.1177/03635465980260060801.

Abstract

Complete rupture of the hamstring tendons in the adult is a rare injury. This report discusses complete rupture of the hamstring tendons in nine patients treated by late operative repair. All patients were referred from outside centers for a second opinion after failed nonoperative treatment. The diagnosis was made quite easily on clinical grounds and was confirmed at surgery. Surgical treatment in all cases consisted of reattachment of the hamstring tendons to the origin on the ischium, and in all cases it was necessary to perform neurolysis of the sciatic nerve. Good results were achieved in all cases, at follow-up all patients were satisfied with the surgery.

摘要

成人腘绳肌腱完全断裂是一种罕见的损伤。本报告讨论了9例接受晚期手术修复治疗的腘绳肌腱完全断裂患者。所有患者均在非手术治疗失败后从外部中心转诊来寻求第二种意见。基于临床依据很容易做出诊断,并在手术中得到证实。所有病例的手术治疗均包括将腘绳肌腱重新附着于坐骨的起点,并且在所有病例中都有必要对坐骨神经进行神经松解术。所有病例均取得了良好的效果,随访时所有患者对手术都很满意。

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