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Polytetrafluoroethylene PTFE as a Suture Material in Tendon Surgery
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Tendon lengthening and transfer.

F Fitoussi1, M Bachy1

  • 1Hôpital Trousseau, Service de Chirurgie Orthopédique et Réparatrice de l'Enfant, Université Pierre-et-Marie-Curie, 26, rue du Dr-Arnold-Netter, 75012 Paris, France.

Orthopaedics & Traumatology, Surgery & Research : OTSR
|January 10, 2015
PubMed
Summary
This summary is machine-generated.

Tendon lengthening and transfer are surgical techniques used to restore function after injury or disorder. Careful planning and execution are crucial for successful outcomes and to avoid complications.

Keywords:
Musculotendinous lengtheningParalysisTendon sutureTendon transfer

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Area of Science:

  • Orthopedic Surgery
  • Reconstructive Surgery
  • Musculoskeletal Disorders

Background:

  • Tendon lengthening and transfer are indicated for neuromuscular disorders, nerve injuries, congenital conditions, or traumatic/degenerative lesions.
  • Techniques vary based on muscle anatomy, desired correction, and preserving muscle force.
  • Tendon lengthening can be stable within muscle/aponeurosis or less stable within the tendon, requiring immobilization.

Purpose of the Study:

  • To outline the principles and techniques for tendon lengthening and transfer.
  • To detail the considerations for selecting muscles and optimizing outcomes for tendon transfers.
  • To emphasize the importance of preoperative assessment and surgical technique in tendon reconstruction.

Main Methods:

  • Review of surgical principles for tendon lengthening and transfer.
  • Discussion of factors influencing technique selection (e.g., muscle anatomy, degree of correction).
  • Emphasis on preoperative assessment, intraoperative optimization (tension, neurovascular protection), and fixation methods.

Main Results:

  • Lengthening within muscle or aponeurosis offers stability; tendon lengthening offers greater gain but requires immobilization.
  • Tendon transfer involves relocating a muscle's insertion to restore function, requiring careful muscle selection based on multiple criteria.
  • Successful tendon transfer necessitates preoperative assessment of tissue quality and joint mobility, optimized tension, and protected neurovascular bundles.

Conclusions:

  • Tendon lengthening and transfer are complex procedures requiring meticulous planning and execution.
  • Optimizing muscle selection, tension, fixation, and considering joint mobility are key to successful tendon reconstruction.
  • These surgical interventions aim to restore function in cases of significant musculoskeletal impairment.