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[自体髌腱-骨移植重建前交叉韧带后髌腱断裂。一例报告]

[Patellar tendon rupture after anterior cruciate ligament reconstruction with autologous patellar tendon-bone transplant. A case report].

作者信息

Weber K, Schmidgen A, Wentzensen A

机构信息

BG-Unfallklinik Ludwigshafen.

出版信息

Unfallchirurg. 2000 Dec;103(12):1124-7. doi: 10.1007/s001130050678.

Abstract

Patellar ligament ruptures due to a complication after usage of bone-tendon autograft for an anterior cruciate ligament reconstruction happens seldom. During surgeries to restore continuity a fascia-lata-strip may be wrapped in and fixated to secure the primary tendon suture. This may be done in addition to the usually employed patella-tibial wiring cerclage. Whether a matrix for the scarred healing tendon will be created in addition to the construction of a support for the primary tendon seam without a foreign body reaction has to be left to further histological clarifications that cannot be implemented in the present casuistry.

摘要

在使用骨-腱自体移植进行前交叉韧带重建后,因并发症导致髌韧带断裂的情况很少见。在修复连续性的手术中,可将阔筋膜条包裹并固定,以确保主要肌腱缝合牢固。除了通常采用的髌-胫钢丝环扎术外,也可这样做。除了构建主要肌腱缝合的支撑结构外,是否会形成瘢痕愈合肌腱的基质且无异物反应,这有待进一步的组织学阐明,而目前的案例无法进行此类研究。

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