VASCULARIZED PLANTARIS TENDON GRAFT: ANATOMIC STUDY OF THE DONOR

The surgical treatment of the divided FDP tendon, more than 6 weeks old, in zone 2 is reviewed in 50 patients. The method used was the excision of the divided FDP tendon and the insertion of a thin tendon graft. There were 50 patients in this study; 36 were male and 14 female, aged from 18 to 60 years. All patients were markedly disabled because of loss of strength of the involved finger. Follow-up ranged from 1 to 25 years following tendon grafting. In 35 patients plantaris tendon was used and in 15 patients palmaris longus. Definite advantages were found in using the tendon grafting procedure; strength, dexterity, pinch and grasp were markedly improved. Functional results were evaluated by the Boyes method, with the Pulvertaft method as a secondary assessment. Among the 50 patients, 80% had excellent and good results (excellent 32%, good 48%) and 20% fair.

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Anatomic study suggests that the morphology of the plantaris tendon may be related to Achilles tendonitis

Surgical and Radiologic Anatomy ◽

10.1007/s00276-016-1682-1 ◽

2016 ◽

Vol 39 (1) ◽

pp. 69-75 ◽

Cited By ~ 31

Author(s):

Łukasz Olewnik ◽

Grzegorz Wysiadecki ◽

Michał Polguj ◽

Mirosław Topol

Keyword(s):

Anatomic Study ◽

Plantaris Tendon ◽

Achilles Tendonitis

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Peroneus Longus Tendon Tears: Acute and Chronic

Foot & Ankle International ◽

10.1177/107110079501600501 ◽

1995 ◽

Vol 16 (5) ◽

pp. 245-253 ◽

Cited By ~ 91

Author(s):

G. James Sammarco

Keyword(s):

Tendon Graft ◽

Acute Onset ◽

Symptom Duration ◽

X Rays ◽

Peroneus Longus Tendon ◽

Longus Tendon ◽

Peroneus Longus ◽

Plantaris Tendon ◽

Os Peroneum ◽

Better Than

Tear of the peroneus longus tendon can be difficult to diagnose and treat. Fourteen cases of clinically proven tears are reported. Patients ranged in age from 31 to 63 years. There were 10 men and four women. The onset of symptoms was acute in eight cases. Chronic onset with slowly increasing pain occurred in six cases. Despite acute onset of symptoms, only one patient was diagnosed within 2 weeks of his injury. The others had symptom duration ranging from 7 to 48 months. Twelve tears were located distally as the tendon turned into the cuboid groove. An os peroneum visible on x-ray was present in six cases, absent in seven cases, and cartilaginous in one case. The os peroneum was involved in the tear in three cases. Excision of part or all of the os peroneum was performed in four cases with a bridging tendon graft required in one case. A plantaris tendon graft was required in one case in which an os peroneum was absent. Patients with acute onset of symptoms tended to fare better than those with chronic onset of symptoms, regardless of the length of time from onset to time of surgery. Associated pathology in the peroneus brevis tendon was common, occurring in nine cases. These patients seemed to have a better surgical outcome than those with only a tear of the peroneus longus tendon. Associated findings affected diagnosis by masking symptoms but did not alter the outcome of treatment. The presence or absence of an os peroneum did not affect symptoms or treatment, but its presence on x-rays may aid in the diagnosis if migration of part or all of the sesamoid occurs.

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Reconstruction of chronic extensor hallucis longus tendon rupture using plantaris tendon graft

Journal of the Foot & Ankle ◽

10.30795/jfootankle.2021.v15.1557 ◽

2021 ◽

Vol 15 (2) ◽

pp. 179-182

Author(s):

Ricardo Ummen de Almeida Tenório Villar ◽

Pedro Costa Benevides ◽

Caio Augusto de Souza Nery ◽

Marcelo Pires Prado ◽

José Felipe Marion Alloza ◽

...

Keyword(s):

Tendon Rupture ◽

Donor Site ◽

Biomechanical Properties ◽

Tendon Graft ◽

Donor Site Morbidity ◽

Level Of Evidence ◽

Longus Tendon ◽

Plantaris Tendon ◽

Extensor Hallucis Longus ◽

Safe Technique

Chronic tendon ruptures can be difficult to manage as end-to-end repair can be challenging. In this scenario, reconstruction techniques with tendon grafts may be useful. The ideal tendon graft would be one that has similar biomechanical properties, low donor-site morbidity and length compatible with the tendon gap. We describe a safe technique for the reconstruction of a chronic extensor hallucis longus tendon rupture using a plantaris tendon graft. Level of Evidence V, Therapeutic Studies; Expert Opinion.

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The plantaris tendon graft: An ultrasound study

The Journal Of Hand Surgery ◽

10.1016/0363-5023(91)90198-k ◽

1991 ◽

Vol 16 (4) ◽

pp. 708-711 ◽

Cited By ~ 38

Author(s):

Stephen L. Simpson ◽

Michael S. Hertzog ◽

Roberto H. Barja

Keyword(s):

Tendon Graft ◽

Plantaris Tendon ◽

Ultrasound Study

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Management of Neglected Achilles Tendon Division: Assessment of Two Novel and Innovative Techniques

Advances in Orthopedic Surgery ◽

10.1155/2014/729397 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Pradeep Jain ◽

Parthapratim Dutta ◽

Prabal Goswami ◽

Amol Patel ◽

Shammi Purwar ◽

...

Keyword(s):

Achilles Tendon ◽

Tertiary Care ◽

Tendon Graft ◽

Care Hospital ◽

Plantaris Tendon ◽

Significant Difference ◽

Group A ◽

And Gender ◽

Group B ◽

Innovative Techniques

Objective. Repair of injured Achilles tendon in neglected cases is one of the difficult and challenging procedures for surgeon. Here, we share our experience with the use of two innovative techniques for repair of chronic rupture of Achilles tendon. Design. Prospective Study. Setting. Tertiary care hospital. Patients. Twelve patients with chronic Tendo Achilles rupture were followed up over a period of three to five years. Intervention. Patients were divided in two groups, A and B. In Group A, the repair was done with Gastroc-soleus turndown flap and weaving with Plantaris tendon graft and in Group B, with modified Kessler’s technique strengthened with the free plantaris tendon graft. Outcome Assessment. Clinically and by Modified Rupp Scoring system. Results. At an average follow-up of 4 years (Group A, 3.7 and Group B, 4.4 years), the majority of the patients had excellent to good results as assessed with Modified Rupp Scoring with few minor complications in both the groups. There was no significant difference in the baseline variables such as age and gender and also in the Rupp’s score between the two groups. Conclusion. The two techniques are novel and simple and have been found to be useful for repair of chronically ruptured Achilles tendon.

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