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前交叉韧带重建术中贯穿固定的一个陷阱。

A pitfall of transfix fixation during anterior cruciate ligament reconstruction.

作者信息

Choi Nam-Hong, Son Kyung-Mo, Victoroff Brian N

机构信息

Department of Orthopaedic Surgery, Eulji Medical Center, 280-1, Hagye-1-dong, Nowon-gu, Seoul 139-231, South Korea.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2008 May;16(5):479-81. doi: 10.1007/s00167-008-0489-y.

DOI:10.1007/s00167-008-0489-y
PMID:18270684
Abstract

While attempting femoral fixation during anterior cruciate ligament (ACL) reconstruction using Bio-TransFix (Arthrex, Naples, FL), we experienced failure of complete insertion of a hamstring graft into the femoral tunnel. A passing wire was twisted in the femoral tunnel during insertion of the ACL graft. The cause and methods of prevention of this complication are discussed.

摘要

在使用Bio-TransFix（Arthrex公司，佛罗里达州那不勒斯）进行前交叉韧带（ACL）重建术中尝试股骨固定时，我们遇到了腘绳肌移植物无法完全插入股骨隧道的情况。在插入ACL移植物时，一根导丝在股骨隧道内发生了扭曲。本文讨论了该并发症的原因及预防方法。

相似文献

1
A pitfall of transfix fixation during anterior cruciate ligament reconstruction.前交叉韧带重建术中贯穿固定的一个陷阱。
Knee Surg Sports Traumatol Arthrosc. 2008 May;16(5):479-81. doi: 10.1007/s00167-008-0489-y.
2
No difference in clinical results between femoral transfixation and bio-interference screw fixation in hamstring tendon ACL reconstruction. A preliminary study.腘绳肌腱前交叉韧带重建中股骨固定与生物干扰螺钉固定的临床效果无差异：一项初步研究。
Knee. 2008 Jun;15(3):174-9. doi: 10.1016/j.knee.2008.02.003. Epub 2008 Mar 25.
3
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Arthroscopy. 2011 Jun;27(6):776-83. doi: 10.1016/j.arthro.2011.02.009.
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Femoral tunnel widening after hamstring anterior cruciate ligament reconstruction with bioabsorbable transfix.生物可吸收横穿钉固定腘绳肌腱前交叉韧带重建术后股骨隧道增宽
Am J Sports Med. 2012 Feb;40(2):383-7. doi: 10.1177/0363546511425883. Epub 2011 Nov 11.
5
Hamstring insertion site healing after anterior cruciate ligament reconstruction in patients with symptomatic hardware or repeat rupture: a histologic study in 12 patients.有症状的内植物或反复断裂患者前交叉韧带重建术后腘绳肌止点愈合情况：12例患者的组织学研究
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Tunnel widening after hamstring anterior cruciate ligament reconstruction is influenced by the type of graft fixation used: a prospective randomized study.腘绳肌前交叉韧带重建术后隧道增宽受移植物固定方式的影响：一项前瞻性随机研究
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Comparison of short term clinical outcomes between transtibial and transportal TransFix® femoral fixation in hamstring ACL reconstruction.腘绳肌前交叉韧带重建术中经胫骨与经隧道TransFix®股骨固定的短期临床疗效比较。
Acta Orthop Traumatol Turc. 2012;46(5):361-6. doi: 10.3944/aott.2012.2679.

引用本文的文献

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Complications using bioabsorbable cross-pin femoral fixation: a case report and review of the literature.生物可吸收交叉克氏针固定股骨的并发症：一例病例报告及文献综述
Case Rep Radiol. 2011;2011:349230. doi: 10.1155/2011/349230. Epub 2011 Sep 25.
2
Delayed knee locking after complicated anterior cruciate ligament reconstruction despite good stability using a bio-transfix.尽管使用生物固定装置后稳定性良好，但复杂前交叉韧带重建术后仍出现延迟性膝关节绞锁。
Knee Surg Relat Res. 2011 Dec;23(4):236-9. doi: 10.5792/ksrr.2011.23.4.236. Epub 2011 Nov 30.
3
Arthroscopic anterior cruciate ligament reconstruction with modified "wireless" cross-screw transfix femoral fixation.

本文引用的文献

1
Stress fractures of the femur after ACL reconstruction with transfemoral fixation.
Knee Surg Sports Traumatol Arthrosc. 2006 Nov;14(11):1148-50. doi: 10.1007/s00167-006-0181-z. Epub 2006 Aug 18.
2
Comparison between different femoral fixation devices for ACL reconstruction with doubled hamstring tendon graft: a biomechanical analysis.双股绳肌腱移植重建前交叉韧带时不同股骨固定装置的比较：生物力学分析
Arthroscopy. 2006 Jun;22(6):660-8. doi: 10.1016/j.arthro.2006.04.082.
3
Magnetic resonance imaging evaluation of biodegradable transfemoral fixation used in anterior cruciate ligament reconstruction.用于前交叉韧带重建的可生物降解经股骨固定的磁共振成像评估
关节镜下前交叉韧带重建改良“无线”交叉螺钉股骨固定术。
Knee Surg Sports Traumatol Arthrosc. 2010 Nov;18(11):1508-10. doi: 10.1007/s00167-010-1079-3. Epub 2010 Feb 12.
4
[Complications after cruciate ligament reconstruction].[交叉韧带重建术后的并发症]
Orthopade. 2008 Nov;37(11):1080-7. doi: 10.1007/s00132-008-1306-5.
Arthroscopy. 2006 Feb;22(2):199-204. doi: 10.1016/j.arthro.2005.08.044.
4
Iliotibial band friction syndrome after anterior cruciate ligament reconstruction using the transfix device: report of two cases and review of the literature.
Knee Surg Sports Traumatol Arthrosc. 2006 Jun;14(6):586-9. doi: 10.1007/s00167-005-0006-5. Epub 2005 Dec 21.
5
Cross-pin femoral fixation versus metal interference screw fixation in anterior cruciate ligament reconstruction with hamstring tendons: results of a controlled prospective randomized study with 2-year follow-up.腘绳肌腱重建前交叉韧带时交叉克氏针股骨固定与金属挤压螺钉固定的比较：一项为期2年随访的对照前瞻性随机研究结果
Arthroscopy. 2005 Jan;21(1):25-33. doi: 10.1016/j.arthro.2004.09.013.