Skip to main content
Top
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 3/2015

01-03-2015 | Ankle

Traumatic tibialis anterior tendon rupture: treatment with a two-stage silicone tube and an interposition hamstring tendons graft protocol

Authors: Vasileios Kontogeorgakos, Antonios Koutalos, Michael Hantes, Gregory Manoudis, Leonidas Badras, Konstantinos Malizos

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 3/2015

Login to get access

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.
Literature
1.
go back to reference Aderinto J, Gross A (2011) Delayed repair of tibialis anterior tendon rupture with Achilles tendon allograft. J Foot Ankle Surg 50:340–342CrossRefPubMed Aderinto J, Gross A (2011) Delayed repair of tibialis anterior tendon rupture with Achilles tendon allograft. J Foot Ankle Surg 50:340–342CrossRefPubMed
2.
go back to reference Anagnostakos K, Bachelier F, Fürst OA, Kelm J (2006) Rupture of the anterior tibial tendon: three clinical cases, anatomical study, and literature review. Foot Ankle Int 27:330–339PubMed Anagnostakos K, Bachelier F, Fürst OA, Kelm J (2006) Rupture of the anterior tibial tendon: three clinical cases, anatomical study, and literature review. Foot Ankle Int 27:330–339PubMed
3.
go back to reference Beris AE, Darlis NA, Korompilias AV et al (2003) Two-stage flexor tendon reconstruction in zone II using a silicone rod and a pedicled intrasynovial graft. J Hand Surg Am 28:652–660CrossRefPubMed Beris AE, Darlis NA, Korompilias AV et al (2003) Two-stage flexor tendon reconstruction in zone II using a silicone rod and a pedicled intrasynovial graft. J Hand Surg Am 28:652–660CrossRefPubMed
4.
go back to reference Ellington JK, McCormick J, Marion C et al (2010) Surgical outcome following tibialis anterior tendon repair. Foot Ankle Int 31:412–417CrossRefPubMed Ellington JK, McCormick J, Marion C et al (2010) Surgical outcome following tibialis anterior tendon repair. Foot Ankle Int 31:412–417CrossRefPubMed
5.
go back to reference Forst R, Forst J, Heller KD (1995) Ipsilateral peroneus brevis tendon grafting in a complicated case of traumatic rupture of tibialis anterior tendon. Foot Ankle Int 16:440–444CrossRefPubMed Forst R, Forst J, Heller KD (1995) Ipsilateral peroneus brevis tendon grafting in a complicated case of traumatic rupture of tibialis anterior tendon. Foot Ankle Int 16:440–444CrossRefPubMed
6.
go back to reference Hunter JM, Salisbury RE (1971) Flexor-tendon reconstruction in severely damaged hands. A two-stage procedure using a silicone-dacron reinforced gliding prosthesis prior to tendon grafting. J Bone Joint Surg Am 53:829–858PubMed Hunter JM, Salisbury RE (1971) Flexor-tendon reconstruction in severely damaged hands. A two-stage procedure using a silicone-dacron reinforced gliding prosthesis prior to tendon grafting. J Bone Joint Surg Am 53:829–858PubMed
7.
go back to reference Kaikkonen A, Kannus P, Jarvinen M (1994) A performance test protocol and scoring scale for the evaluation of ankle injuries. Am J Sports Med 22:462–469CrossRefPubMed Kaikkonen A, Kannus P, Jarvinen M (1994) A performance test protocol and scoring scale for the evaluation of ankle injuries. Am J Sports Med 22:462–469CrossRefPubMed
8.
go back to reference Kinouchi J (1979) An experimental study on repair and restoration of gliding function of the injured flexor tendon of the finger. Part 6: a mode of vascularization of the grafted tendon within the pseudosheath. Nihon Seikeigeka Gakkai Zasshi 53:213–224PubMed Kinouchi J (1979) An experimental study on repair and restoration of gliding function of the injured flexor tendon of the finger. Part 6: a mode of vascularization of the grafted tendon within the pseudosheath. Nihon Seikeigeka Gakkai Zasshi 53:213–224PubMed
9.
go back to reference Kitaoka HB, Alexander IJ, Adelaar RS et al (1994) Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int 15:349–353CrossRefPubMed Kitaoka HB, Alexander IJ, Adelaar RS et al (1994) Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int 15:349–353CrossRefPubMed
10.
go back to reference Kopp FJ, Backus S, Deland JT, O’Malley MJ (2007) Anterior tibial tendon rupture: results of operative treatment. Foot Ankle Int 28:1045–1047CrossRefPubMed Kopp FJ, Backus S, Deland JT, O’Malley MJ (2007) Anterior tibial tendon rupture: results of operative treatment. Foot Ankle Int 28:1045–1047CrossRefPubMed
11.
go back to reference Markarian GG, Kelikian AS, Brage M, Trainor T, Dias L (1998) Anterior tibialis tendon ruptures: an outcome analysis of operative versus nonoperative treatment. Foot Ankle Int 19:792–802CrossRefPubMed Markarian GG, Kelikian AS, Brage M, Trainor T, Dias L (1998) Anterior tibialis tendon ruptures: an outcome analysis of operative versus nonoperative treatment. Foot Ankle Int 19:792–802CrossRefPubMed
12.
go back to reference Moskowitz E (1971) Rupture of the tibialis anterior tendon simulating peroneal nerve palsy. Arch Phys Med Rehabil 52:431–433PubMed Moskowitz E (1971) Rupture of the tibialis anterior tendon simulating peroneal nerve palsy. Arch Phys Med Rehabil 52:431–433PubMed
13.
go back to reference Salamon A, Bíró V, Vámhidy L, Trombitás K, Józsa L (1993) Questions concerning two-stage reconstruction of injured flexor tendons. III. Ultrastructure of the tenosynovium in the pseudo-tendon sheath created by using a silicone rod. Magy Traumatol Ortop Kezseb Plasztikai Seb 36:469–475PubMed Salamon A, Bíró V, Vámhidy L, Trombitás K, Józsa L (1993) Questions concerning two-stage reconstruction of injured flexor tendons. III. Ultrastructure of the tenosynovium in the pseudo-tendon sheath created by using a silicone rod. Magy Traumatol Ortop Kezseb Plasztikai Seb 36:469–475PubMed
14.
go back to reference Sammarco VJ, Sammarco GJ, Henning C, Chaim S (2009) Surgical repair of acute and chronic tibialis anterior tendon ruptures. J Bone Joint Surg Am 91:325–332CrossRefPubMed Sammarco VJ, Sammarco GJ, Henning C, Chaim S (2009) Surgical repair of acute and chronic tibialis anterior tendon ruptures. J Bone Joint Surg Am 91:325–332CrossRefPubMed
15.
go back to reference Stavrou P, Symeonidis PD (2008) Gracilis tendon graft for tibialis anterior tendon reconstruction: a report of two cases. Foot Ankle Int 29:742–745CrossRefPubMed Stavrou P, Symeonidis PD (2008) Gracilis tendon graft for tibialis anterior tendon reconstruction: a report of two cases. Foot Ankle Int 29:742–745CrossRefPubMed
16.
go back to reference Takasugi H, Inoue H, Akahori O (1976) Scanning electron microscopy of repaired tendon and pseudosheath. Hand 8:228–234CrossRefPubMed Takasugi H, Inoue H, Akahori O (1976) Scanning electron microscopy of repaired tendon and pseudosheath. Hand 8:228–234CrossRefPubMed
17.
go back to reference Velan GJ, Hendel D (1997) Degenerative tear of the tibialis anterior tendon after corticosteroid injection—augmentation with the extensor hallucis longus tendon, case report. Acta Orthop Scand 68:308–309CrossRefPubMed Velan GJ, Hendel D (1997) Degenerative tear of the tibialis anterior tendon after corticosteroid injection—augmentation with the extensor hallucis longus tendon, case report. Acta Orthop Scand 68:308–309CrossRefPubMed
Metadata
Title
Traumatic tibialis anterior tendon rupture: treatment with a two-stage silicone tube and an interposition hamstring tendons graft protocol
Authors
Vasileios Kontogeorgakos
Antonios Koutalos
Michael Hantes
Gregory Manoudis
Leonidas Badras
Konstantinos Malizos
Publication date
01-03-2015
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 3/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-013-2544-6

Other articles of this Issue 3/2015

Knee Surgery, Sports Traumatology, Arthroscopy 3/2015 Go to the issue