Kuo Mei-Hui, Leong Chau-Peng, Wang Ching-Jen
Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Kaoshiung, Taiwan, ROC.
Chang Gung Med J. 2003 Aug;26(8):592-7.
Arthroscopic reconstruction of the anterior cruciate ligament (ACL) using the middle third of the patellar tendon is an effective method for treating ACL insufficiency. Donor site morbidities are usually mild. This article presents a case of simultaneous patellar fracture and patellar tendon avulsion that occurred 8 weeks after this operation. Such a case has rarely been reported. Theoretically, an accelerated rehabilitation protocol after ACL reconstruction may increase patellar stress and the potential for patellar fracture. However, it is still very important because complications such as arthrofibrosis, muscle atrophy, and patellofemoral pain may outweigh the chance of patellar fracture if adequate rehabilitation is not performed.
采用髌腱中三分之一进行关节镜下前交叉韧带（ACL）重建是治疗ACL功能不全的有效方法。供区并发症通常较轻。本文介绍了1例该手术后8周同时发生髌骨骨折和髌腱撕脱的病例。此类病例鲜有报道。理论上，ACL重建后加速康复方案可能会增加髌骨应力及髌骨骨折风险。然而，这仍然非常重要，因为如果不进行充分康复，诸如关节纤维化、肌肉萎缩和髌股疼痛等并发症可能比髌骨骨折的风险更大。
