Surgical Considerations for the Neglected or Chronic Achilles Tendon Rupture: A Combined Technique for Reconstruction
Surgical Considerations for the Neglected or Chronic Achilles Tendon Rupture: A Combined Technique for Reconstruction
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DOI：
10.1053/j.jfas.2013.10.001
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发表时间：
2014-09-01
影响因子：
1.3
通讯作者：
Mendicino, Robert W.
中科院分区：
文献类型：
--
作者：
Peterson, Kyle S.;Hentges, Matthew J.;Mendicino, Robert W.
跟腱是人体最常见的受伤肌腱之一。延误治疗的最常见原因是漏诊或表现不足。被忽视或慢性断裂的跟腱提出了一个独特的治疗挑战。手术入路根据退变的程度和相对肌腱末端之间的间隙而有很大的不同。大多数外科医生建议使用肌腱转移或增强来加强跟腱修复。以下技术使用屈拇长肌腱转移与腓肠肌腱膜翻转皮瓣增强。这种技术已被我们普遍成功地执行。(C)2014年由美国足踝外科医生学会（American College of Foot and Ankle Surgeons）All rights reserved.
The Achilles tendon is among the most commonly injured tendons in the human body. The most common reason for delayed treatment is a missed diagnosis or a deficiency in presentation. The neglected or chronically ruptured Achilles tendon presents a unique treatment challenge. The surgical approach varies greatly depending on the extent of degeneration and the resultant gap between the opposing tendon ends. Most surgeons have recommended the use of a tendon transfer or augmentation to strengthen the Achilles tendon repair. The following technique uses a flexor hallucis longus tendon transfer with gastrocnemius aponeurosis turndown flap augmentation. This technique has been commonly performed by us with success. (C) 2014 by the American College of Foot and Ankle Surgeons. All rights reserved.