Reconstruction of Chronic Proximal Hamstring Tear: A Novel Surgical Technique with Semitendinosus Tendon Allograft Assisted with Autologous Plasma Rich in Growth Factors (PRGF)

被引:1
|
作者
Rios Luna, Antonio [1 ]
Fahandezh-Saddi Diaz, Homid [2 ]
Villanueva Martinez, Manuel [3 ]
Bueno Horcajadas, Angel [4 ]
Prado, Roberto [5 ]
Anitua, Eduardo [5 ]
Padilla, Sabino [5 ]
机构
[1] Clin Orthoindal, Dept Traumatol & Orthoped Surg, Almeria 04004, Spain
[2] Hosp Univ Fdn Alcorcon, Dept Orthoped Surg, Alcorcon 28922, Spain
[3] Avanfi Inst, Dept Traumatol & Orthoped Surg, Madrid 28015, Spain
[4] Hosp Univ Fdn Alcorcon, Dept Radiol, Alcorcon 28922, Spain
[5] BTI Biotechnol Inst, I MAS D, Vitoria 01007, Spain
关键词
proximal hamstring avulsion; allograft reconstruction; chronic; PRGF; platelet-rich plasma; PRP; REPAIR; FIBRIN;
D O I
10.3390/jcm11185443
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The reconstruction of a chronic proximal hamstring tear is a challenging pathology that posits difficulties to surgeons due to the distal retraction of the hamstring tendon stumps and the entrapment of the sciatic nerve within the scar formed around the torn hamstring tendon. We describe a novel surgical technique using a semitendinosus tendon allograft sutured in a "V inversion" manner, thereby avoiding an excess of tension and length of the new reconstructed hamstring tendons. In addition, and in order to speed up the healing process and avoid new sciatic entrapment, we assisted the surgery with liquid plasma rich in growth factors (PRGF) injected intraosseously, intratendinously and within the suture areas, as well as wrapping the sciatic nerve with a PRGF membrane. In conclusion, this novel approach offers mechanical and biological advantages to tackle the large retraction of hamstring stumps and the entrapment of the sciatic nerve within the scar.
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页数:8
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