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Kernohan's contributions to neurosurgery

机译：Kernohan对神经外科的贡献

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Chronic peroneal tendinopathy and tears represent a challenging clinical situation. Traditionally, tenodesis of the torn tendon to the remaining healthy tendon has been advocated if more than half of the tendon is compromised. Allograft reconstructions have been reserved for patients with functional muscles and both peroneal tendons extensively compromised. We report a unique case of a peroneal tenodesis takedown and reconstruction of both peroneal tendons using semitendinosus allograft. A description of the surgical technique and tips are provided. Peroneal tendon function is crucial to maintain a balanced hindfoot. To the best of our knowledge, reconstruction of both peroneal tendons after a tenodesis has not been previously reported. Allograft reconstruction of the peroneal tendons arises as a feasible alternative in patients with residual pain and weakness after a failed tenodesis surgery.Levels of Evidence: Therapeutic Level IV, case study.
机译：慢性腓骨肌腱病和眼泪代表了具有挑战性的临床情况。传统上，如果超过一半的肌腱受损，则主张将肌腱撕裂成剩余的健康肌腱。同种异体移植重建术已保留给功能性肌肉患者，并且腓总筋均严重受损。我们报告了一个独特的案例，即使用半腱肌同种异体移植腓骨腱膜摘除和重建两个腓骨肌腱。提供了手术技术和技巧的描述。腓骨腱功能对于维持平衡的后足至关重要。据我们所知，先前未曾报道过腱膜成形术后两个腓骨腱的重建。经腱移植手术失败后残留疼痛和无力的患者可以采用同种异体腓骨肌腱重建术。证据水平：IV级治疗，案例研究。

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