Weber K, Schmidgen A, Wentzensen A
BG-Unfallklinik Ludwigshafen.
Unfallchirurg. 2000 Dec;103(12):1124-7. doi: 10.1007/s001130050678.
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.
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。
