Surgical repair of an anterior tibialis muscle hernia with Mersilene mesh.
The most frequent muscle hernia of the lower extremities is the anterior tibialis muscle hernia. A number of surgical procedures are available for the treatment of symptomatic anterior tibialis muscle hernias. However, in case of a large fascial defect, their use may be unfeasible or inconvenient. Moreover, current surgical procedures are prone to the risk of an anterior tibial compartment syndrome. The use of a synthetic patch could provide an alternative, particularly for large defects. In this paper we report the repair of a large, symptomatic, long-standing anterior tibialis muscle hernia with polyester mesh (Mersilene) fixed to the edges of the defect (muscular fascia and tibial periosteum). This simple procedure provided excellent functional results and a good cosmetic appearance without complications and sequelae.
Siliprandi
L
L
Institute of Plastic Surgery, University of Padua, Italy.
Martini
G
G
Chiarelli
A
A
Mazzoleni
F
F
D000328:Adult; D059685:Herniorrhaphy; D006801:Humans; D007866:Leg / Q000601:surgery*; D008297:Male; D008722:Methods; D009135:Muscular Diseases / Q000601:surgery*; D013526:Surgical Mesh