首页> 外文期刊>The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons >A Minimally Invasive 'Overwrapping' Technique for Repairing Neglected Ruptures of the Achilles Tendon
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A Minimally Invasive 'Overwrapping' Technique for Repairing Neglected Ruptures of the Achilles Tendon

机译:一种微创的“包缠”技术,可修复跟腱腱的被忽视的破裂

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摘要

About 10% to 25% of acute ruptures of the Achilles tendon go undiagnosed for some time beyond what would be optimal for repair and a return to optimal function. Managing these chronic or neglected ruptures is a surgical challenge, because the tendon ends retract and atrophy and could develop a short, fibrous distal stump. In the present report, a patient with a ruptured right Achilles tendon, neglected for approximately 10 years, is described. The chronically injured tendon was successfully treated by overwrapping the interposed scar at the rupture site. This minimally invasive technique restored tension to the tendon, a prerequisite for which was the presence of functional triceps surae, confirmed by identification of gross contraction of the muscle during tiptoeing. The procedure is contraindicated when the scar tissue is not intact and does not have sufficient laxity to allow adequate dorsiflexion of the ankle after overwrapping the tendon or when the triceps surae are nonfunctional. (C) 2014 by the American College of Foot and Ankle Surgeons. All rights reserved.
机译:超过10%至25%的跟腱急性破裂在一段时间内未被诊断出超出最佳修复时间并恢复到最佳功能。处理这些慢性或被忽视的破裂是外科手术中的挑战,因为肌腱末端回缩和萎缩,并可能形成短的纤维状远端残端。在本报告中,描述了右脚跟腱断裂(被忽视约10年)的患者。通过在破裂部位包扎介入的疤痕,成功治愈了慢性受伤的肌腱。这种微创技术恢复了肌腱的张力,其先决条件是存在功能性肱三头肌,这一点已通过identification起脚尖期间肌肉的总体收缩来确认。当疤痕组织不完整并且没有足够的松弛度以致在过度缠绕肌腱后或踝肱三头肌无功能时,脚踝没有足够的背屈时,该手术是禁忌的。 (C)2014年,美国脚踝外科学院。版权所有。

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