title: Traumatic tibialis anterior tendon rupture: treatment with a two-stage silicone tube and an interposition hamstring tendons graft protocol.
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.
authors.affiliation: Department of Orthopaedic Surgery and Musculoskeletal Trauma, Faculty of Medicine, School of Health Sciences, University Hospital of Thessalia, 41110, Larissa, Greece, vaskonto@gmail.com.
authors.forename: Vasileios
authors.initials: V
authors.lastname: Kontogeorgakos
authors.forename: Antonios
authors.initials: A
authors.lastname: Koutalos
authors.forename: Michael
authors.initials: M
authors.lastname: Hantes
authors.forename: Gregory
authors.initials: G
authors.lastname: Manoudis
authors.forename: Leonidas
authors.initials: L
authors.lastname: Badras
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Malizos
mesh_terms: D000328:Adult; D001672:Biocompatible Materials; D002985:Clinical Protocols; D006801:Humans; D007866:Leg; D008297:Male; D018482:Muscle, Skeletal / Q000293:injuries; D012421:Rupture; D012828:Silicones; D013708:Tendon Injuries / Q000175:diagnosis / Q000601:surgery*; D013710:Tendons / Q000637:transplantation*; D014182:Transplantation, Autologous; D014946:Wound Infection / Q000628:therapy*; D055815:Young Adult
chemical_list: D001672:Biocompatible Materials; D012828:Silicones