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

Knee Surgery, Sports Traumatology, Arthroscopy volume 23, pages 875–878 (2015)Cite this article

Abstract

A novel technique for managing ruptured tibialis anterior tendon complicated by infection and tendon substance loss in a young adult is described. A two-stage reconstruction technique with a silicon tube and tendon autograft was performed. At first, after local control of the infection, scar excision and placement of a silicone tube was performed. Ten weeks later, ipsilateral hamstrings tendons were harvested and bridged the 7 cm tendon gap. Eighteen months later, the patient has excellent clinical and functional outcome.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Affiliations

  1. Department of Orthopaedic Surgery and Musculoskeletal Trauma, Faculty of Medicine, School of Health Sciences, University Hospital of Thessalia, 41110, Larissa, Greece

    Vasileios Kontogeorgakos, Antonios Koutalos, Michael Hantes & Konstantinos Malizos

  2. Department of Orthopaedic Surgery, General Hospital of Volos, Thessaly, Greece

    Gregory Manoudis & Leonidas Badras

Authors
  1. Vasileios Kontogeorgakos
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  2. Antonios Koutalos
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  3. Michael Hantes
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  4. Gregory Manoudis
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  5. Leonidas Badras
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  6. Konstantinos Malizos
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Correspondence to Vasileios Kontogeorgakos.

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Kontogeorgakos, V., Koutalos, A., Hantes, M. et al. Traumatic tibialis anterior tendon rupture: treatment with a two-stage silicone tube and an interposition hamstring tendons graft protocol. Knee Surg Sports Traumatol Arthrosc 23, 875–878 (2015). https://doi.org/10.1007/s00167-013-2544-6

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  • DOI: https://doi.org/10.1007/s00167-013-2544-6

Keywords

  • Tibialis anterior tendon
  • Infection
  • Tendon loss
  • Hamstrings
  • Silicone tube