잠시만 기다려 주세요. 로딩중입니다.

군 훈련 이후 발생한 전경골근 탈출에 있어 근막하 합성 그물 이식술을 이용한 치료 - 증례 보고 -

Surgical Repair of Tibialis Anterior Muscle Herniation Using a Synthetic Mesh That Was Beneath the Fascia after a Military Training Program: A Case Report

대한골절학회지 2019년 32권 2호 p.102 ~ 106
김경호, 신영수,
소속 상세정보
김경호 ( Kim Kyoung-Ho ) - 국군대전병원 정형외과
신영수 ( Shin Young-Soo ) - 한림대학교 춘천성심병원 정형외과

Abstract


Tibialis anterior muscle herniation is the most common type of skeletal muscle herniation of the lower legs. The treatment of muscle herniation relies on the patient's symptoms. For patients with chronic large fascial defects, fascial grafting with synthetic mesh can be considered. In this case of a patient who was exposed to excessive strain on his lower legs during a military training program, the use of a secure repair technique with synthetic mesh was required. This paper presents a case of tibialis anterior muscle herniation that was treated successfully with a monofilament knitted polypropylene mesh covered by the tibialis anterior fascia. The advantages of this technique include early rehabilitation and an early return to work. No significant difference in the clinical results compared to other methods were observed and there were no complications. The military training program appeared to have aggravated the patient's symptoms of tibialis anterior muscle herniation. On the other hand, larger scale study will be needed to determine if this program actually affects the clinical outcomes.

키워드

Mesh; Fascial grafting; Muscle herniation; Tibialis anterior muscle

원문 및 링크아웃 정보

 

등재저널 정보