Endosopic Achilles tendon augmentation with a graft loop anatomic and radiologic study

Abstract Background Mini-invasive techniques are commonly used for repair of tendon Achilles (TA) rupture. However, the use of these techniques is limited when graft augmentation is needed. Method A radiological study was conducted on 18 normal ankles using multi-slice CT scan with soft tissue recon...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Foot and ankle surgery 2011-09, Vol.17 (3), p.173-177
Hauptverfasser: El Shazly, Ossama, MD, Abou ElSoud, Maged M., MD, Desouky, Ahmed, MSC, MD
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Abstract Background Mini-invasive techniques are commonly used for repair of tendon Achilles (TA) rupture. However, the use of these techniques is limited when graft augmentation is needed. Method A radiological study was conducted on 18 normal ankles using multi-slice CT scan with soft tissue reconstruction to determine the endoscopic landmarks for Achilles tendon insertion. The surgical procedure was performed on six whole lower limb formaldehyde preserved specimens. Endoscopic-assisted TA augmentation with a graft loop was done for all specimens. Postoperative assessment of the tunnel was done using multi-slice CT scan. Results Anatomic dissection showed that the sural nerve and neurovascular bundle were intact in all specimens. Conclusion With the technique described a graft loop can be delivered endoscopically for Achilles tendon augmentation. The technique was found to be safe for the sural nerve and medial neurovascular structures.
ISSN:1268-7731
1460-9584
DOI:10.1016/j.fas.2010.05.007