Proximal Tibia Fracture Through Suture Augmentation Sites Following ACL/MCL Repairs: A Case Report.

Q4 Medicine JBJS case connector Pub Date : 2024-06-24 eCollection Date: 2024-04-01 DOI:10.2106/JBJS.CC.24.00124
Scott M Feeley, Arash Kamali, Donald F Colantonio, Christopher H Renninger
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Abstract

Case: A 35-year-old man sustained a proximal tibia fracture from a low-energy mechanism 1 year after anterior cruciate and medial collateral ligament repairs with suture augmentation (SA). The fracture propagated through both tibial SA anchor sites. Following intramedullary tibial nailing, he returned to his prior level of function.

Conclusion: While complications of SA for ligamentous procedures are rare, these techniques are being implemented more frequently and the full complication profile is yet to be determined. Our report documents a new complication and potential risk factors that surgeons should consider when performing SA for multiligament knee surgery in active individuals.

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前交叉韧带(ACL)/后交叉韧带(MCL)修复术后胫骨近端通过缝合增高点发生骨折:病例报告。
病例一名 35 岁男子在前交叉韧带和内侧副韧带缝合增强(SA)修复术后 1 年,因低能量机制导致胫骨近端骨折。骨折通过两个胫骨 SA 固定点扩展。在胫骨髓内钉治疗后,他的功能恢复到了之前的水平:结论:虽然韧带手术中的SA并发症很少见,但这些技术的应用越来越频繁,全部并发症的情况尚待确定。我们的报告记录了一种新的并发症和潜在的风险因素,外科医生在对活跃人群的膝关节多韧带手术进行SA时应考虑这些因素。
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来源期刊
JBJS case connector
JBJS case connector Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
319
期刊介绍: JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.
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