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...
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Veröffentlicht in: | Foot and ankle surgery 2011-09, Vol.17 (3), p.173-177 |
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Format: | Artikel |
Sprache: | eng |
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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. |
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ISSN: | 1268-7731 1460-9584 |
DOI: | 10.1016/j.fas.2010.05.007 |