Tenotomy

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Under tenotomy (from the Greek. Τένοντας tendon and τομή "cut") is generally understood operational severing a tendon .

If the incision is made directly at the muscle-tendon junction, it is called a myotenotomy or tenomyotomy . If the tendon is divided twice at a distance of about 1–2 cm at the muscle-tendon junction without severing the muscle, and thereby achieving a moderate lengthening, then it is a fractional tenotomy .

A distinction is made between the open and the closed tenotomy. While with the open tenotomy a skin incision is made and the tendon is exposed before it is severed, with the closed tenotomy a stab incision is made directly on the tendon, with its severing in one step. This is why this is also known as percutaneous tenotomy and can be used especially for superficial tendons, such as in the treatment of clubfoot according to Ponseti or for spastic clawed toes by shortening the flexor tendons .

The German surgeon Ferdinand Sauerbruch treated the torticollis by means of a tenotomy using a so-called tenotome.

Tenotomy is the first step in tendon lengthening, often as a Z-shaped tenotomy , before the two tendon ends are sutured together again in the desired position.

Individual evidence

  1. ^ Ferdinand Sauerbruch, Hans Rudolf Berndorff : That was my life. Kindler & Schiermeyer, Bad Wörishofen 1951; cited: Licensed edition for Bertelsmann Lesering, Gütersloh 1956, p. 328 f.