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Augmented Tenoplasty Following Remote Rupture of the Anterior Tibial Tendon

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Orthopedics and Traumatology

Abstract

The Problem

A 28-year-old man severed his anterior tibial tendon while working with a cutting device. Initial treatment consisted only of wound closure. 3 months after the injury, he presented with weakness of ankle extension and a painful ankle joint.

The Solution

Operative treatment with augmented tenoplasty was performed.

Surgical Technique

Anteromedial incision over the ankle joint with extension distally to the medial cuneiform. Preparation of a turned-down flap of the proximal pedicled tendon stump.

Augmentation with a Polydioxanon (PDS) strand. Transosseous fixation of the augmented tenoplasty at the navicular bone.

Result

At 3-year follow-up, the patient was asymptomatic and showed a normal function of the ankle in comparison to the uninjured leg. Ultrasonography revealed a good ten-don structure and normal gliding.

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References

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Author information

Authors and Affiliations

  1. Department of Trauma Surgery, Hannover Medical School, 30623, Hannover, Germany

    Johannes Zeichen & Ulrich Bosch

  2. ATOS Clinic Center, Sports Traumatology, Heidelberg, Germany

    Hajo Thermann

Authors
  1. Johannes Zeichen
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  2. Hajo Thermann
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  3. Ulrich Bosch
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Corresponding author

Correspondence to Johannes Zeichen.

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Zeichen, J., Thermann, H. & Bosch, U. Augmented Tenoplasty Following Remote Rupture of the Anterior Tibial Tendon. Orthop Traumatol 9, 284–289 (2001). https://doi.org/10.1007/s00064-001-1030-8

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  • DOI: https://doi.org/10.1007/s00064-001-1030-8

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