A new surgical technique for traumatic dislocation of tibialis posterior tendon with avulsion fracture of medial malleolus
Author(s) -
Dae-Cheol Nam
Publication year - 2015
Publication title -
acta orthopaedica et traumatologica turcica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.586
H-Index - 28
eISSN - 2589-1294
pISSN - 1017-995X
DOI - 10.3944/aott.2015.15.0021
Subject(s) - medicine , avulsion fracture , medial malleolus , avulsion , tendon , surgery , fixation (population genetics) , ankle , anatomy , tibia , fibrous joint , population , environmental health
We introduce a case of traumatic dislocation of the posterior tibial tendon with avulsion fracture of the medial malleolus in a 52-year-old female patient who was treated surgically with periosteal flap and suture anchor fixation. Based in the posteromedial ridge of the distal tibia, a quadrilateral periosteal flap was created and folded over the tendon, followed by fixation on the lateral aspect of the groove by use of multiple suture anchors. Clinical and radiological findings 25 months postoperatively showed well-preserved function of the ankle joint with stable tendon gliding.
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