Application of Hyaluronic Acid/Alginate Sheet to Achilles Tendon Injuries to Prevent Peritendinous Adhesions

Joseph A S McCahon, Tiffany N. Bridges, Selene G Parekh
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Abstract

Peritendinous adhesions is one of the most common complications following tendon injuries, resulting in limited joint motion and function. Interventions to optimize tendon gliding have been proposed—particularly the use of biological adjuncts such as hyaluronic acid. Several clinical and biomechanical studies have demonstrated improved tendon gliding and decreased excursion resistance with the use of a hyaluronic adjunct. We present a surgical technique using a hyaluronic acid/alginate sheet following acute repair of an Achilles tendon rupture to aid in tendon healing and prevent peritendinous adhesions. Diagnostic level IV.
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在跟腱损伤处应用透明质酸/藻酸盐薄片预防腱周粘连
腱周粘连是肌腱损伤后最常见的并发症之一,会导致关节活动和功能受限。人们提出了优化肌腱滑动的干预措施,特别是使用透明质酸等生物辅助材料。多项临床和生物力学研究表明,使用透明质酸辅助剂可改善肌腱的滑动性并降低运动阻力。我们介绍一种在跟腱断裂急性修复后使用透明质酸/海藻酸薄片的手术技术,以帮助肌腱愈合并防止腱周粘连。 诊断级别 IV。
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