Advancing Recovery by Incorporating Physiological Insights into the Surgical Management of Chronic Proximal Rectus Femoris Tendon Avulsion
Abstract
1. Introduction
2. Case Presentation
3. Discussion
4. Conclusions
5. Clinical Application
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
AIIS | Anterior inferior iliac spine |
HALTAR | Hip anterosuperior labral tear with avulsion of the rectus femoris lesion |
MRI | Magnetic resonance image |
PDS | Polydioxanone |
PRF | Proximal rectus femoris |
Appendix A
Author/Year | N° Chronic Patients | Approach | Technique | RTP (months) | Observations/Complications |
---|---|---|---|---|---|
Hughes [22] (1995) | 2 chronic | Not described | 1 tenotomy 1 suture | 36 18 | Athletes amateur |
Irmola [18] (2007) | 5 overall 2 chronic | SP | Anchor | 5 to 10 | FCN lesion, hematoma, seroma |
Wittstein [19] (2011) | 5 chronic | Anterior | Reflex portion tenotomy | 7 to 10 | Femoral nerve injury |
Ueblacker [17] (2014) | 4 overall 1 chronic | Not described | Anchor | 5 to 10 | Elite athletes |
Gazi Huri [15] (2014) | 1 chronic | Anterior | Suture (polydioxanone) | 6 | Professional athlete |
Lasse Lempainen [14] (2018) | 19 overall 5 chronic | Anterior | Anchor | 12 to 24 | FCN injury |
Choufani [7] (2021) | 67 overall 41 chronic | 37 Hueter 4 SP | 23 releases 1 allograft 7 tenotomy 2 screws 6 sutures 2 labral lesion resections | 6 to 24 | 2 LFCN injury 1 hematoma |
1 | Performing the Hueter approach more proximally to the AIIS allows a better view of the area for it to be inserted and the possibility of distal extension if necessary, considering the risk of injury to the LCFN |
2 | To facilitate maneuverability, it is recommended to use two traction sutures with Vycril 2. |
3 | Carry out a progressive release of adhesions, taking into account that the branches of the femoral nerve come from the medial area, so as not to denervate the rectus femoris muscle. |
4 | Two 5 mm anchors, with a double-loaded suture, allow anatomical reconstruction, using the first as a pulley system to reduce the tendon in its anatomical insertions, and the second to perform the Krackow-type reinforcement. |
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Capurro-Soler, B.; Vecchi, F.; Badillo-Pérez, E.; Vazquez, J.; Ortega, A.; Pizarro-Geraldo, W.; Gambín, J.; Muñoz Criado, I. Advancing Recovery by Incorporating Physiological Insights into the Surgical Management of Chronic Proximal Rectus Femoris Tendon Avulsion. Physiologia 2024, 4, 445-453. https://doi.org/10.3390/physiologia4040030
Capurro-Soler B, Vecchi F, Badillo-Pérez E, Vazquez J, Ortega A, Pizarro-Geraldo W, Gambín J, Muñoz Criado I. Advancing Recovery by Incorporating Physiological Insights into the Surgical Management of Chronic Proximal Rectus Femoris Tendon Avulsion. Physiologia. 2024; 4(4):445-453. https://doi.org/10.3390/physiologia4040030
Chicago/Turabian StyleCapurro-Soler, Bruno, Francesco Vecchi, Eduardo Badillo-Pérez, Jonathan Vazquez, Alexander Ortega, Wilson Pizarro-Geraldo, Joel Gambín, and Ignacio Muñoz Criado. 2024. "Advancing Recovery by Incorporating Physiological Insights into the Surgical Management of Chronic Proximal Rectus Femoris Tendon Avulsion" Physiologia 4, no. 4: 445-453. https://doi.org/10.3390/physiologia4040030
APA StyleCapurro-Soler, B., Vecchi, F., Badillo-Pérez, E., Vazquez, J., Ortega, A., Pizarro-Geraldo, W., Gambín, J., & Muñoz Criado, I. (2024). Advancing Recovery by Incorporating Physiological Insights into the Surgical Management of Chronic Proximal Rectus Femoris Tendon Avulsion. Physiologia, 4(4), 445-453. https://doi.org/10.3390/physiologia4040030