Lee Gregory H, McCulloch Patrick, Cole Brian J, Bush-Joseph Charles A, Bach Bernard R
Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.
Arthroscopy. 2008 Feb;24(2):162-6. doi: 10.1016/j.arthro.2007.08.020. Epub 2007 Dec 31.
This study was performed to determine the incidence of acute bone-patellar tendon-bone autograft harvest complications after anterior cruciate ligament (ACL) reconstruction.
Over a nearly 20-year period (September 1986 to April 2006), 1,725 consecutive patients underwent primary ACL reconstruction using bone-patellar tendon-bone autograft by 3 fellowship-trained sports medicine surgeons at our institution. Three acute complications related to patellar tendon harvest were identified from surgical databases, and the charts of these patients were reviewed.
In this series of 1,725 consecutive patients, 3 acute complications (0.2%) related to patellar tendon harvest were noted. These complications consisted of 2 patellar fractures (1 intraoperative and 1 postoperative) and 1 postoperative patellar tendon rupture. All 3 patients healed and went on to satisfactory outcomes.
A 0.2% overall acute complication rate related to patellar tendon harvest for primary ACL reconstruction supported our hypothesis. Bone-patella tendon-bone autograft remains a safe and viable choice for surgeons performing ACL reconstruction.
Level IV, therapeutic case series.
本研究旨在确定前交叉韧带（ACL）重建术后自体骨-髌腱-骨移植急性并发症的发生率。
在近20年期间（1986年9月至2006年4月），我们机构的3名接受过专科培训的运动医学外科医生为1725例连续患者采用自体骨-髌腱-骨移植进行了初次ACL重建。从手术数据库中识别出3例与髌腱采集相关的急性并发症，并对这些患者的病历进行了回顾。
在这一系列1725例连续患者中，发现3例（0.2%）与髌腱采集相关的急性并发症。这些并发症包括2例髌骨骨折（1例术中骨折和1例术后骨折）和1例术后髌腱断裂。所有3例患者均愈合，最终获得满意结果。
初次ACL重建中与髌腱采集相关的总体急性并发症发生率为0.2%，支持了我们的假设。自体骨-髌腱-骨移植对于进行ACL重建的外科医生来说仍然是一种安全可行的选择。
IV级，治疗性病例系列。
