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IJAR.2016.521

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Type of Article:  Original Research

Volume 5; Issue 1 (March 2017)

Page No.: 3572-3574

DOI: https://dx.doi.org/10.16965/ijar.2016.521

A STUDY OF PLANTARIS TENDON AND ITS ROLE IN TENDON GRAFT

Syed Nazeer Ahmed *1 , Pradeep K. Murudkar 2 , Md Khaleel Ahmed.

*1 Assistant Professor, Department of Anatomy, KBN Medical College, Kalaburagi, Gulbarga, Karnataka, India.

2 Professor and HOD, Department of Anatomy, KBN Medical College, Kalaburagi, Gulbarga, Karnataka, India.

3 Assistant Professor, Department of Anatomy, KBN Medical College, Kalaburagi, Gulbarga, Karnataka, India.

Address for correspondence: Dr. Syed Nazeer Ahmed, Assistant professor, Department of Anatomy, KBN Medical College, Kalaburagi, Gulbarga, Karnataka, India. E-Mail: nazeer1715@gmail.com 

ABSTRACT

Introduction: The plantaris tendon has been used in various tendon repairs and also membrane created from stretched plantaris tendon may be wrapped around tendon anastomosis in the Achilles tendon repair.

Materials and Methods: In this study of 50 embalmed lower limbs, average age between 50-60 years was dissected with standard procedure and various parameters of the plantaris tendon i.e. length, breadth, thickness were measured with the Vernier’s caliper and documented.

Results: It has been observed that the mean tendon length was more in male cadavers compared with female cadavers. The total 25 adult cadavers studied of which 23 were males and 2 were females, out of these there were 25 left and 25 right limbs. The plantaris was absent in two limbs and commonest type of tendon insertion was as to the standard study done by previous workers.

Discussion: Glissan in 1932 was the first to utilize the plantaris tendon as a living suture for the repair of gaps in the flexor tendons of the palm, in tendon transplants above the ankle, in repair of a ruptured coracoclavicular ligament, and in repair of a slipping patella by Gallie’s technique. The author also mentions that, the plantaris tendon is advantages for the hernia repair as it is having the property of lateral stretching.

Conclusion: It is used as a strong reinforcement membrane and is also useful for surgeons performing various reconstructive surgeries. As the plantaris tendon is a tensile and stretchable structure, it is used as a strong reinforcement membrane after suturing the partial rupture of the Achilles tendon, how far it can be useful for tympanoplasty, clinical trials may be carried out in future by the concerned ENT surgeons

Key words: Achilles rupture, Plantaris graft, Plantaris tendon, Tendon grafting.

REFERENCES

  1. Lynn TA. Repair of torn Achilles tendon, usingthe Plantaris tendon as a reinforcing membrane. J Bone Joint Surg Am 1966;48:268-72.
  2. Delgado GJ, Chung CB, Lektrakul N, Azocar P, Botte MJ, Coria D, Bosch E, Resnick D. Tennis Leg: Clinical US Study of 141 Patients and Anatomic Investigation of Four Cadavers with MR Imaging and US. Radiology 2002;224:112–119.
  3. Standring Susan. Gray’s Anatomy. The Anatomical Basis of Clinical Practice.40thElsevier Churchill Livingstone, Philadelphia, 2008. pp. 1421.
  4. Moore KL, Dalley AF, eds. Clinically Oriented Anatomy. 5th ed. Philadelphia: Lippincott Williams & Wilkins, 2006;648–649.
  5. A Jay Freeman, Nathan A, Jacobson and Quentin A Fogg. Anatomical variations of theplantaris muscle and a potential role inpatellofemoral painsyndrome: Clinical Anatomy 2008;21:178-181
  6. Aragao, J A. Reis F P, Guerra D R, Cabral R H. The occurrence of the plantaris muscle and its muscle-tendon relationship in adult human cadavers. Int. J. Morphol 2010 28(1):255-258.
  7. Helms CA, Fritz RC, Garvin GJ. PlantarisMuscle injury: Evaluation with MR Imaging. Radiology 1995;195:201–203.
  8. Glissan D J: The use of the plantaris tendon in certain types of plastic surgery. Australian and New Zealand J Surg1932;11:64.
  9. Van Sterkenburg MN, Kerkhoffs GM, KleipoolRP, Niek van Dijk C. The plantaris tendon and a potential role in mid-portion Achilles tendinopathy: an observational anatomical study. J Anat 2011 Mar;218(3):336-41.
  10. Aragao J A, Reis F P, Guerra D R, Cabral R H. The occurrence of the plantaris muscle and its muscle-tendon relationship in adult human cadavers. Int. J. Morphol., 2010;28(1):255-258.
  11. Surut J, Ekamol T, Weerachai K, Kimaporn K. Palmaris longus and plantaris tendon: Anatomical variations and relationship, Srinagarind  Med. J 2002;17(3):160-163.

Cite this article: Syed Nazeer Ahmed, Pradeep K. Murudkar, Md Khaleel Ahmed. A STUDY OF PLANTARIS TENDON AND ITS ROLE IN TENDON GRAFT. Int J Anat Res 2017;5(1):3572-3574. DOI: 10.16965/ijar.2016.521