生物复合旋锁锚钉联合髌股内侧韧带重建髌腱修复:手术技术及病例报告

IF 0.2 Q4 ORTHOPEDICS Techniques in Orthopaedics Pub Date : 2022-12-05 DOI:10.1097/bto.0000000000000617
Ryan Falbo, Elizabeth Simmons, A. Singleton, Samuel D. Stegelmann, Richard M. Miller
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引用次数: 0

摘要

简介:损伤内侧髌股韧带(MPFL)和髌腱孤立是有充分证据的实体。文献很少描述这种合并损伤和对这种伴发损伤模式的治疗。目的:这篇文章的目的是记录合并MPFL断裂和髌骨肌腱断裂的损伤模式。我们还旨在描述这种罕见的损伤模式的治疗选择。材料和方法:我们的MPFL重建技术使用股薄肌异体移植物和2个生物复合锚定髌骨。我们的髌骨肌腱修复采用Krakow针缝合Ethibond缝线,随后将其纳入用于MPFL重建的锚钉中。结果:我们的患者通过每2周增加30度的膝关节屈曲成功过渡到特定的术后活动范围,从术后第一次就诊时的0到30度开始。我们的患者在6周时能够伸直腿,8周时开始正式的物理治疗,6个月时恢复所有正常活动。结论:我们展示了一种修复MPFL和髌骨肌腱复合损伤的新技术,在6个月内取得了良好的临床效果。
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Combining Medial Patellofemoral Ligament Reconstruction With Patellar Tendon Repair Using Biocomposite Swivel Lock Anchors: Surgical Technique and Case Report
Introduction: Injuries to the medial patellofemoral ligament (MPFL) and patellar tendon in isolation are well-documented entities. There is a paucity of literature describing this combination of injuries and treatment of this concomitant injury pattern. Objective: The intent of this manuscript was to document the combined injury pattern of a concomitant MPFL rupture and patellar tendon disruption. We also aimed to describe a treatment option for this rarely documented injury pattern. Materials and Methods: Our MPFL reconstruction technique utilized a gracilis allograft and 2 biocomposite anchors for the patella. Our patellar tendon repair utilized Ethibond suture in a Krakow stitch fashion, which was subsequently incorporated into the anchors used for the MPFL reconstruction. Results: Our patient successfully transitioned through a specific postoperative range of motion protocol by increasing knee flexion 30 degrees every 2 weeks, beginning at 0 to 30 degrees at the first postoperative visit. Our patient was able to straight leg raise by 6 weeks, began formal physical therapy at 8 weeks, and resumed all normal activity at 6 months. Conclusion: We demonstrated a novel technique to repair a combined injury of the MPFL and patellar tendon that produced good clinical outcomes through 6 months.
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
31
期刊介绍: The purpose of Techniques in Orthopaedics is to provide information on the latest orthopaedic procedure as they are devised and used by top orthopaedic surgeons. The approach is technique-oriented, covering operations, manipulations, and instruments being developed and applied in such as arthroscopy, arthroplasty, and trauma. Each issue is guest-edited by an expert in the field and devoted to a single topic.
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