青岛大学学报（医学版）2023，Vol.59Issue(5)：783-786,4.DOI:10.11712/jms.2096-5532.2023.59.155
胫骨后肌腱转移术研究进展
RESEARCH PROGRESS IN POSTERIOR TIBIAL TENDON TRANSFER SURGERY
摘要
Abstract
Posterior tibial tendon(PTT)transfer is an important surgical method to balance the muscle strength of foot and ankle.The surgical timing of PTT transfer depends on the primary lesion.There are two routes of PTT transfer:through the interosseous membrane(IO)and through the circumtibial route(CT).IO has better biomechanics,better ankle range,and less in-cidence of foot varus,while CT is mainly applicable to patients with interosseous membrane sclerosis.The transferred PTT fixed to the bone structure heals well,but it is not suitable for patients with poor foot bone quality.Due to the short length of the PTT,sometimes it may not reach the predetermined fixation point.This can be resolved by expanding the interosseous membrane window and suturing to the tendon near the ankle joint.The occurrence of flat foot after PTT transfer depends on the primary disease and the muscle strength distribution of foot and ankle.The transfer of PTT to dorsalis pedis can be performed in different phases.Mo-reover,due to the short sliding distance of PTT,it needs to be combined with systematic and scientific rehabilitation training to achieve good outcomes.This article reviews the research progress in PTT transfer in recent years.关键词
胫后肌腱/腱转移术/固定技术/综述Key words
tibialis posterior/tendon transfer/fixation technique/review分类
医药卫生引用本文复制引用
高正玉,吴继霞,王强,王昌耀..胫骨后肌腱转移术研究进展[J].青岛大学学报（医学版）,2023,59(5):783-786,4.基金项目
国家自然科学基金面上项目(81772329) （81772329）
