Traumatic tibialis anterior tendon rupture: treatment with a two-stage silicone tube and an interposition hamstring tendons graft protocol

Kontogeorgakos, Vasileios; Koutalos, Antonios; Hantes, Michael; Manoudis, Gregory; Badras, L.; Malizos, Konstantinos N.

doi:10.1007/s00167-013-2544-6

Cited by 13 publications

(12 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 3 However, defects >4 cm have been addressed with tendon grafting, whereas defects >10 cm have been successfully treated with gracilis transfer. 1 , 4 , 5 Although more commonly used for upper extremity tendon reconstruction, free functional muscle transfer could be considered. However, this method relies on adequate soft-tissue coverage and a local environment that allows for smooth tendon gliding.…”

Section: Discussionmentioning

confidence: 99%

Composite Cutaneous Anterolateral Thigh Flap with Rolled Fascia Lata for Tibialis Anterior Tendon Reconstruction

Bekeny

Zolper

Fan

et al. 2020

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background: Rupture of the tibialis anterior tendon (TAT) is a rare phenomenon with limited therapeutic options derived from sparse case reports. Without proper anchoring of the tibialis anterior, dorsiflexion and inversion of the foot become impaired, disrupting patient’s gait. Reported techniques for repair fall into nonoperative (ankle-foot orthosis) or operative (primary closure, tendon transfer, free gracilis) modalities, depending on patient factors, mechanism of injury, and extent of defect. In this report, we outline a novel method of tendon repair and soft tissue coverage for a large defect. Methods: We present a unique case of traumatic TAT rupture with a failed primary closure yielding a large (>15 cm) defect. The patient presented with a defect spanning the entire anterior compartment of the leg, limiting options for coverage and functional restoration. Results: The patient’s large, chronic defect was successfully repaired via a composite cutaneous anterolateral thigh and a rolled fascia lata free flap. The patient had robust return to function and is able to dorsiflex and invert the foot and ambulate. Conclusions: The use of this donor site offers a novel, advantageous option for TAT repair. It should be considered for patients with large defects that make other repair methods unfeasible.

show abstract

Section: Discussionmentioning

confidence: 99%

Composite Cutaneous Anterolateral Thigh Flap with Rolled Fascia Lata for Tibialis Anterior Tendon Reconstruction

Bekeny

Zolper

Fan

et al. 2020

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

“…Tendon autograft is a classical option for tendon reconstruction but usually associated with postoperative adhesions . Two‐stage reconstruction using silicone tube leads to better outcomes . The main disadvantages of this technique are the potential infectious risk and the two‐stage procedure.…”

Section: Discussionmentioning

confidence: 99%

“…However, it may be associated with postoperative adhesions . Two‐stage reconstruction using silicone tube leads to better outcomes . Tendon transfer using the posterior tibialis tendon is another option but leads to inconstant results and functional sequelae …”

mentioning

confidence: 99%

Reconstruction of post‐traumatic drop foot deformity by the chimeric deep inferior epigastric artery perforator free flap associated with a composite quadriceps osteotendinous graft

Ayestaray

Lelièvre

et al. 2015

Microsurgery

View full text Add to dashboard Cite

Dorsiflexor tendons are particularly exposed in crush injury of the foot. Anterior tibialis tendon defects may be responsible for a steppage gait and a drop foot deformity. Drop foot reconstruction is challenging because of the high risk of postoperative adhesions and functional sequelae. In this report, we present the results of the reconstruction of post-injury anterior tibialis tendon defects with chimeric deep inferior epigatric artery perforator (DIEP) free flap associated with a quadriceps osteotendinous graft in two patients. Two men (32-year-old and 19-year-old) presented drop foot deformity with defect of the anterior tibialis tendon secondary to a crush injury. The sizes of the soft tissues defects at the foot dorsum were 24 cm × 8 cm and 20 cm × 8 cm, respectively. The quadriceps osteotendinous grafts were used to reconstruct the anterior tibialis tendon in both patients. The chimeric DIEP free flaps with skin paddles (24 cm × 8 cm and 20 cm × 8 cm) and rectus abdominis fascia (24 cm × 4 cm and 20 cm × 4 cm) were used for reconstruction. The skin component based on a musculocutaneous perforator was used for soft tissue reconstruction of the foot dorsum. The fascial component based on a second perforator was used to create a sliding surface around the osteotendinous graft. Postoperative course was uneventful. Rehabilitation lasted 3 months. The range of ankle movement was measured during 12 months. The first patient recovered 10 degree of dorsiflexion. The second patient recovered 25 degree of dorsiflexion. Walk recovery was satisfying in both patients. The single-stage procedure using the chimeric DIEP free flap may be an option for post-injury drop foot reanimation. Creating a sliding surface around a composite osteotendinous quadriceps graft with a vascularized fascial component avoid postoperative peritendinous adhesions. This technique may improve foot dorsiflexion and walk recovery. © 2015 Wiley Periodicals, Inc. Microsurgery 36:334-338, 2016.

show abstract

“…This optimal timing of nerve regeneration is synchronous with the proper time needed for maturation of the pseudosheath. In clinical practice, the minimum time interval between two stages of tendon graft is 2–3 months to permit structural maturation of the pseudosheath ( 35 , 36 ). However, electron microscopy in an experimental study on hen shows that after 4 weeks, a pseudosheath comparable to normal parietal sheath is formed around the silicone tube ( 37 ).…”

Section: Objective Summary Of the Promise And Pitfalls Of The Two-stamentioning

confidence: 99%

Two-Stage Nerve Graft Using a Silicone Tube

et al. 2015

View full text Add to dashboard Cite

Traumatic tibialis anterior tendon rupture: treatment with a two-stage silicone tube and an interposition hamstring tendons graft protocol

Cited by 13 publications

References 15 publications

Composite Cutaneous Anterolateral Thigh Flap with Rolled Fascia Lata for Tibialis Anterior Tendon Reconstruction

Composite Cutaneous Anterolateral Thigh Flap with Rolled Fascia Lata for Tibialis Anterior Tendon Reconstruction

Reconstruction of post‐traumatic drop foot deformity by the chimeric deep inferior epigastric artery perforator free flap associated with a composite quadriceps osteotendinous graft

Two-Stage Nerve Graft Using a Silicone Tube

Contact Info

Product

Resources

About