Tyler Luc Teurlings MD, Delaney Joseph Lagrew MD, Alexander Loren Vlasak MD, Rull James Toussaint MD
{"title":"用聚氨酯尿素基质重建一名精英运动员的第一跖趾关节外侧副韧带:病例报告","authors":"Tyler Luc Teurlings MD, Delaney Joseph Lagrew MD, Alexander Loren Vlasak MD, Rull James Toussaint MD","doi":"10.1016/j.fastrc.2024.100407","DOIUrl":null,"url":null,"abstract":"<div><h3>Case</h3><p>A 26-year-old elite male swimmer presented with chronic, isolated, hallux metatarsophalangeal joint varus instability status post previous lateral collateral ligament repair. We report a novel surgical technique for revision first metatarsophalangeal joint (MTP-1) lateral collateral ligament reconstruction using soft tissue imbrication and augmentation with a degradable polycaprolactone-based polyurethane urea (PUUR) matrix. There is paucity in the literature describing the surgical management of revision lateral collateral ligament injury in these cases.</p></div><div><h3>Conclusion</h3><p>Our reconstruction technique using degradable PUUR matrix restores natural soft tissue elasticity, provides a scaffolding for neocollagenesis, is bioinert, and delivers a low-profile reconstruction allowing the patient to return to high level competition with excellent patient outcomes at one year follow up.</p></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"4 3","pages":"Article 100407"},"PeriodicalIF":0.0000,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667396724000478/pdfft?md5=498e3151af7f3a5e57796696eaf965fe&pid=1-s2.0-S2667396724000478-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Revision first metatarsophalangeal joint lateral collateral ligament reconstruction with polyurethane urea matrix in an elite athlete: A case report\",\"authors\":\"Tyler Luc Teurlings MD, Delaney Joseph Lagrew MD, Alexander Loren Vlasak MD, Rull James Toussaint MD\",\"doi\":\"10.1016/j.fastrc.2024.100407\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Case</h3><p>A 26-year-old elite male swimmer presented with chronic, isolated, hallux metatarsophalangeal joint varus instability status post previous lateral collateral ligament repair. We report a novel surgical technique for revision first metatarsophalangeal joint (MTP-1) lateral collateral ligament reconstruction using soft tissue imbrication and augmentation with a degradable polycaprolactone-based polyurethane urea (PUUR) matrix. There is paucity in the literature describing the surgical management of revision lateral collateral ligament injury in these cases.</p></div><div><h3>Conclusion</h3><p>Our reconstruction technique using degradable PUUR matrix restores natural soft tissue elasticity, provides a scaffolding for neocollagenesis, is bioinert, and delivers a low-profile reconstruction allowing the patient to return to high level competition with excellent patient outcomes at one year follow up.</p></div>\",\"PeriodicalId\":73047,\"journal\":{\"name\":\"Foot & ankle surgery (New York, N.Y.)\",\"volume\":\"4 3\",\"pages\":\"Article 100407\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-06-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2667396724000478/pdfft?md5=498e3151af7f3a5e57796696eaf965fe&pid=1-s2.0-S2667396724000478-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Foot & ankle surgery (New York, N.Y.)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2667396724000478\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foot & ankle surgery (New York, N.Y.)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2667396724000478","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Revision first metatarsophalangeal joint lateral collateral ligament reconstruction with polyurethane urea matrix in an elite athlete: A case report
Case
A 26-year-old elite male swimmer presented with chronic, isolated, hallux metatarsophalangeal joint varus instability status post previous lateral collateral ligament repair. We report a novel surgical technique for revision first metatarsophalangeal joint (MTP-1) lateral collateral ligament reconstruction using soft tissue imbrication and augmentation with a degradable polycaprolactone-based polyurethane urea (PUUR) matrix. There is paucity in the literature describing the surgical management of revision lateral collateral ligament injury in these cases.
Conclusion
Our reconstruction technique using degradable PUUR matrix restores natural soft tissue elasticity, provides a scaffolding for neocollagenesis, is bioinert, and delivers a low-profile reconstruction allowing the patient to return to high level competition with excellent patient outcomes at one year follow up.