Minimally invasive, endoscopic Achilles tendon reconstruction using semitendinosus and gracilis tendons with Endobutton stabilization
| Autor: | Monika Grygorowicz, Paweł Bąkowski, Tomasz Piontek, Kinga Ciemniewska-Gorzela |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty medicine.medical_treatment Tendon Transfer 03 medical and health sciences 0302 clinical medicine Rheumatology Tendon transfer medicine Humans Minimally Invasive Surgical Procedures Orthopedics and Sports Medicine 030222 orthopedics Achilles tendon Achilles endoscopy medicine.diagnostic_test business.industry Hamstring Tendons Endoscopy 030229 sport sciences Anatomy Plastic Surgery Procedures musculoskeletal system Surgery Tendon Achilles reconstruction medicine.anatomical_structure Technical Advance Neglected rupture Orthopedic surgery Calcaneus Achilles tendon rupture medicine.symptom business |
| Zdroj: | BMC Musculoskeletal Disorders |
| ISSN: | 1471-2474 |
| Popis: | Background Plantaris tendon, peronus brevis tendon and flexor hallucis longus tendon augmentation, commonly used in Achilles tendon rupture, often lead to weakening of injured foot and they require the immobilization after the surgery. It is essential to develop the technique, which gives no such limitation and allows for immediate functional improvement. Methods We present our method of minimally invasive, endoscopic Achilles tendon reconstruction using semitendinosus and gracilis tendons with Endobutton stabilization. Results Posterolateral and posteromedial portals were made approximately 3 cm above the posterosuperior part of the calcaneus to clean the area of the Achilles tendon endoscopically. Then the hamstrings are harvested and prepared for the “Endobutton” system. A midline incision of the skin is performed approximately 1 cm above the posterosuperior part of the calcaneus to approach to the posterosuperior part of the calcaneus. Then under fluoroscopy the calcaneus was drilled through using K-wire. The distal end of the graft equipped with an Endobutton loop was entered into the drilled tunnel in the calcaneus. Later, 8 consecutive skin incisions are performed. Proximal ends of the graft were brought out through the native Achilles tendon reaching medial and lateral skin incisions. The final step was to transfer and tie the graft ends through the most proximal skin incision. Conclusions This minimally invasive, endoscopic technique allows reconstruction of the Achilles tendon using semitendinosus and gracilis tendons with Endobutton stabilization and can be used in so-called “difficult”, resistant cases as a “salvage procedure”. |
| Databáze: | OpenAIRE |
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