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一名4岁半儿童后交叉韧带撕脱伤的螺钉固定

Screw fixation of a 4 1/2-year-old PCL avulsion injury.

作者信息

Jung Tobias M, Höher Jürgen, Weiler Andreas

机构信息

Sports Traumatology and Arthroscopy Service, Center of Musculoskeletal Surgery, Charité, Medical Faculty of Berlin, Campus Virchow-Klinikum, Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2006 May;14(5):469-72. doi: 10.1007/s00167-005-0687-9. Epub 2005 Nov 1.

Abstract

We report about the case of a 4(1/2)-year delayed screw fixation of a tibial posterior cruciate ligament (PCL) avulsion fracture in combination with a posterolateral stabilization. After open reduction and rigid screw fixation, combined with a posterolateral stabilization using a semitendinosus tendon autograft, the patient returned to full activity in sports and daily life. If the PCL substance is sufficient, a delayed refixation in an old PCL avulsion injury seems to be a viable alternative to PCL reconstruction.

摘要

我们报告了一例胫骨后交叉韧带(PCL)撕脱骨折伴后外侧稳定结构损伤4年半后行螺钉固定的病例。切开复位并坚强螺钉固定,同时采用半腱肌自体肌腱进行后外侧稳定结构重建,患者恢复了运动和日常生活的全部活动能力。如果PCL实质足够,陈旧性PCL撕脱损伤的延迟重新固定似乎是PCL重建的一种可行替代方法。

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