羊膜異體移植物基質合併高濃度血小板血漿對內側腓腸肌斷裂之治療—病例報告

Amnion Matrix Allograft Combined with Platelet-rich Plasma for Treating Ruptured Medial Head of the Gastrocnemius Muscle: A Case Report

邱湣淇(Min-Chi Chiu) ； 丁睿宇(Rei-Yu Ding) ； 江研壹(Yen-Yi Chiang)

《北市醫學雜誌》 20卷1期 (2023/03) Pp. 132-138

https://doi.org/10.6200/TCMJ.202303_20(1).0012

摘要

小腿後側肌群撕裂傷以保守治療為主，若延伸出腔室症候群需執行筋膜切開術。羊膜異體移植物基質有多年使用於軟組織修復經驗並有相關文獻支持，本文詳記羊膜基質合併高濃度血小板血漿（platelet-rich plasma, PRP）使用於腓腸肌斷裂之結果以供參考。個案左側腓腸肌內側頭肌肉斷裂，經PRP及保守治療效果不佳，考量手術風險遂以羊膜基質併PRP取代之，後續追蹤生活功能恢復良好，核磁共振顯示腓腸肌破裂處消失、無積液累積。若PRP或保守治療小腿後側肌群撕裂傷效果不佳，羊膜異體移植物基質併PRP是另一個可選擇的治療方式。

關鍵字

網球腿 ； 內側腓腸肌 ； 羊膜異體移植物基質 ； 高濃度血小板血漿

並列摘要

Calf muscle tear is usually treated conservatively. Fasciotomy will be needed when compartment syndrome occurs. Amnion matrix allograft has been applied in soft tissue repair for years and is supported by related literature. This article describes the results of a case of gastrocnemius muscle tear treated with amnion matrix allograft combined with platelet-rich plasma (PRP). The case suffered a complete tear of the left medial head of the gastrocnemius muscle and did not respond well to PRP and conservative treatments. Amnion matrix allograft combined with PRP was chosen to substitute surgical intervention considering the risk of surgery. Follow-up showed good recovery of life functions, and the MRI showed a disappearance of the tear site without fluid accumulation. We conclude that amniotic membrane allograft matrix combined with PRP an alternative treatment choice if PRP or conservative treatment is not satisfactory for the calf tear.

並列關鍵字

tennis leg ； medial head of the gastrocnemius muscle ； amnion matrix allograft ； platelet-rich plasma

參考文獻

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