A clinical example of the features’ confirmation of xenopericardium biointegration in Achilles tendon surgery
The issue of surgical tactics for treating subcutaneous degenerative ruptures of the distal tendon of the gastrocnemius muscle is the disintegration of the tendon’s end, disruption of its sliding surface, resulting in the formation of adhesions with the synovial membrane, which significantly wors...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Penza State University Publishing House
2024-11-01
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| Series: | Известия высших учебных заведений. Поволжский регион: Медицинские науки |
| Subjects: | |
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| Summary: | The issue of surgical tactics for treating subcutaneous degenerative ruptures of
the distal tendon of the gastrocnemius muscle is the disintegration of the tendon’s end, disruption
of its sliding surface, resulting in the formation of adhesions with the synovial
membrane, which significantly worsens long-term functional results. In experiments on animals
previously conducted by the authors, results were obtained stating that the surfaces of
xenopericardial plates are characterized by different properties. For villous - the ability to
biointegrate, for smooth - intactness, without the formation of scars and adhesions. The article
describes a clinical example of this phenomenon. Patient D., age 53 years, with a subcutaneous
degenerative rupture of the Achilles tendon underwent Achilles tendon suture
surgery with restoration of the sliding surface with a xenopericardial plate. In the postoperative
period, 4 weeks after surgery, due to the patient’s violation of the load regime, a
rupture of the suture area occurred. After repeated surgical intervention, it was established
that the villous surface of the xenopericardial plate, facing the tendon, effectively underwent
the process of biointegration, while the smooth surface, located on the side of the synovial
membrane, retained its sliding surface. This clinical example demonstrates the advantage
of original methods developed by a team of authors of the Department of Traumatology,
Orthopedics and Military Extreme Medicine of PSU over existing traditional types
of treatment. |
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| ISSN: | 2072-3032 |