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首页> 外文期刊>The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons >An Innovative Anchoring Technique for Anterior Transfer of the Tibialis Posterior Tendon
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An Innovative Anchoring Technique for Anterior Transfer of the Tibialis Posterior Tendon

机译：一种创新的胫骨后腱前转移锚固技术

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摘要

Favorable results have been reported for tibialis posterior tendon transfers, which can effectively restore the dorsiflexion of the ankle and normal heel-to-toe gait. However, the commonly used methods for anchoring the transplanted tendon have some drawbacks. Therefore, we developed a new tendon-anchoring method to improve fixation of the transferred tendon and reduce the related complications. The new method entails tying the anchoring suture to the navicular bone instead of the button on the plantar foot to avoid wound complications. It requires no additional skin incisions or special equipment. We retrospectively evaluated 24 feet of 19 pediatric patients (13 [68.4%] females and 6 [31.6%] males) who had undergone anterior transfer of the tibialis posterior tendon with our new method from 2000 to 2013. All patients were clinically followed up. At the final follow-up visit, they were evaluated while standing and walking, and the range of motion of the foot was evaluated. The mean age at surgery was 7.8 (range 2 to 16) years. At the longest follow-up point, all the patients exhibited improved gait, except for 1 patient who required a secondary procedure. All the transferred tibialis posterior tendons could be palpated with certainty during active dorsiflexion or withdrawal of the foot. No tendon displacements, wound infections, or postoperative complications were observed. Fixation of a transferred tibialis posterior tendon by tying the suture to the navicular bone is simple and reliable. This technique can efficiently prevent the plantar ulcers that can develop with the traditional pull-out button method and provides a solution when appropriate-size bioabsorbable interference screws are unavailable. (C) 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
机译：据报道，胫骨后肌腱转移有利的结果，可以有效地恢复踝关节和正常脚跟到脚踏性的背裂。然而，用于锚固移植肌腱的常用方法具有一些缺点。因此，我们开发了一种新的肌腱锚定方法，以改善转移肌腱的固定并降低相关的并发症。新方法需要将锚固缝合线绑在拐点骨中而不是跖脚上的按钮以避免伤口并发症。它不需要额外的皮肤切口或特殊设备。我们回顾性地评估了24英尺的19名儿科患者（13岁儿科患者和6 [31.6％]雄性），其在2000年至2013年的新方法经历了胫骨后肌腱的前部转移。所有患者在临床上进行跟进。在最后的后续访问中，它们在站立和行走时进行了评估，评估脚的运动范围。手术的平均年龄为7.8（范围为2至16）年。在最长的随访点，所有患者都表现出改善的步态，除了1名需要次要程序的患者。在活性背离或徒步撤离期间，所有转移的胫骨后肌腱都可以通过确定性触诊。没有观察到肌腱位移，伤口感染或术后并发症。通过将缝合线绑在拐点骨骼上，固定转移的胫骨后肌腱是简单可靠的。该技术可以有效地防止可以使用传统的拉出按钮方法开发的跖溃疡，并在适当的生物可吸收干涉螺钉不可用时提供解决方案。 （c）2017由美国脚和踝外科医院。版权所有。

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