踇长屈肌 课件.pptVIP

Chronic Achilles tendon rupture reconstruction using a modified flexor hallucis longus transfer ;Purpose;Patients ;Operative Technique ;;transverse 4.5-mm drill tunnel was made in the posterior calcaneal cortex. The FHL tendon was pulled through the tunnel. Next, the FHL tendon was tenodesed to itself with a tension fixed at 40° of plantar flexion . ;Augmentation with suture of two remaining Achilles fibrous flaps and fixation on FHL transfer was made. ;Results;;;;Conclusion;踇长屈肌腱移植重建陈旧跟腱断裂;适应症;诊断;;手术治疗;分型;Kuwada’s classification Type-I lesion 部分断裂 石膏固定 Type-II lesion 完全断裂，缺损小于3cm 端端吻合