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  • west china medical publishers
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    find Keyword "跖肌腱" 3 results
    • Anatomical and biomechanical characteristics of plantaris tendon and its application in ligament reconstruction

      Objective To improve the clinical utility of the plantaris tendon mainly by summarizing its anatomical characteristics, biomechanical properties, harvesting methods, and its applications in ligament reconstruction. Methods The relevant literature from domestic and international databases regarding the anatomical and biomechanical characteristics of the plantaris tendon and its applications in ligament reconstruction was comprehensively reviewed and systematically summarized. Results The plantaris tendons have an absence. The majority of plantaris tendon forms a fan-shape on the anterior and medial sides of the Achilles tendon and terminates at the calcaneal tuberosity. There are significant differences in biomechanical parameters between plantaris tendon with different numbers of strands, and multi strand plantaris tendon have significant advantages over single strand tendon. The plantaris tendon can be harvested through proximal and distal approaches, and it is necessary to ensure that there are no obvious anatomical variations or adhesions in the surrounding area before harvesting. The plantaris tendon is commonly utilized in ligament reconstruction around the ankle joint or suture reinforcement for Achilles tendon rupture, with satisfactory effectiveness. There is limited research on the use of plantar tendon in the reconstruction of upper limb and knee joint ligaments. Conclusion The plantaris tendon is relatively superficial, easy to be harvested, and has less impact on local function. The plantaris tendon is commonly utilized in ligaments reconstruction around the ankle joint or suture reinforcement for Achilles tendon rupture. The study on the plantaris tendon for upper limbs and knee joints ligament reconstruction is rarely and require further research.

      Release date:2024-02-20 04:11 Export PDF Favorites Scan
    • 跖肌腱移植重建喙鎖及肩鎖韌帶結合鋼板固定治療肩鎖關節脫位

      目的總結應用跖肌腱重建喙鎖及肩鎖韌帶結合鉤鋼板固定治療肩鎖關節脫位的臨床效果。 方法2012年8月-2014年8月,采用跖肌腱“8”字固定重建喙鎖及肩鎖韌帶聯合鉤鋼板固定治療9例急性肩鎖關節脫位患者。男7例,女2例;年齡21~51歲,平均31.7歲。Rockwood分型:Ⅲ型3例,Ⅳ型5例,Ⅴ型1例。受傷至手術時間2~5 d,平均3.3 d。術后隨訪患者Constant-Murley功能評分、肩關節活動度、復位維持情況及疼痛視覺模擬評分(VAS)。 結果9例均獲隨訪,隨訪時間12~26個月,平均17.4個月。術后無肩峰撞擊、肩峰下骨溶解、再脫位等并發癥發生;末次隨訪時患側肩關節前屈上舉(178.8±1.1)°。末次隨訪時Constant-Murley評分健患側比較差異無統計學意義(t=1.142,P=0.312);VAS評分較術前顯著改善(t=3.623,P=0.002)。術后1周及末次隨訪時患側喙鎖間隙距離均較術前顯著改善(t=3.294,P=0.004;t=3.237,P=0.005);術后1周與末次隨訪比較差異無統計學意義(t=0.724,P=0.635)。 結論跖肌腱移植“8”字重建喙鎖及肩鎖韌帶聯合鉤鋼板治療肩鎖關節脫位符合生物力學要求,臨床療效滿意且學習曲線短。

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    • 手術治療孤立型跟骰關節不穩二例

      目的總結手術治療孤立型跟骰關節不穩的經驗。方法2017 年 1 月及 2018 年 2 月共收治 2 例孤立型跟骰關節不穩患者,男、女各 1 例,年齡分別為 66、56 歲。術前美國矯形足踝協會(AOFAS)評分分別為 51、54 分,疼痛視覺模擬評分(VAS)分別為 7、6 分。分別采用跖肌腱轉移和帶線錨釘修復重建跟骰關節穩定性。結果術后切口均 Ⅰ 期愈合,無感染及血管神經損傷等并發癥發生。2 例患者分別獲隨訪 13、11 個月。術前跟骰關節處持續腫脹及疼痛癥狀消失,無關節不穩,患者可長時間負重行走。末次隨訪時,AOFAS 評分分別為 97、100 分,VAS 評分為 1、0 分;X 線片示跟骰關節匹配較好。結論跖肌腱轉移重建術和帶線錨釘修復術均為治療孤立型跟骰關節不穩的有效、安全方法。

      Release date:2020-04-15 09:18 Export PDF Favorites Scan
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