Erdogan Fahri, Aydingoz Onder, Kesmezacar Hayrettin, Erginer Rifat
Department of Orthopaedics and Traumatology, Cerrahpaşa Medical School, Istanbul University, Istanbul, Turkey.
Knee Surg Sports Traumatol Arthrosc. 2004 Jul;12(4):277-9. doi: 10.1007/s00167-003-0424-1. Epub 2004 Feb 6.
Extensive calcification of the patellar tendon following ACL reconstruction with central-third bone-patellar tendon-bone autograft is a rarely seen complication. A 45-year-old male patient underwent combined intraarticular reconstruction of ACL with 1/3 central patellar bone-tendon-bone graft and extraarticular reconstruction with modified MacIntosh technique. Two cm of calcification of the patellar tendon was observed incidentally when he underwent a high tibial osteotomy due to medial compartment degeneration, secondary to varus malalignment, 18 months after the ACL surgery. The calcification, being painless, was left untouched during the surgery. At the final examination, 136 months postoperatively, the patient still had no complaint relating to the patellar tendon.
采用髌腱中1/3自体骨-髌腱-骨移植进行前交叉韧带重建术后，髌腱广泛钙化是一种罕见的并发症。一名45岁男性患者接受了前交叉韧带关节内联合重建，采用1/3髌腱中份骨-腱-骨移植，以及采用改良MacIntosh技术进行关节外重建。在ACL手术后18个月，由于内翻畸形继发内侧间室退变，他接受高位胫骨截骨术时偶然发现髌腱有2 cm的钙化。钙化部位无痛，手术中未予处理。在术后136个月的最终检查中，患者仍无关于髌腱的不适主诉。
