Kayali Cemil, Agus Haluk, Turgut Ali, Taskiran Can
Tepecik Education and Research Hospital, Second Orthopaedic and Traumatology Department, Izmir, Turkey.
Ortop Traumatol Rehabil. 2008 May-Jun;10(3):286-91.
Quadriceps tendon ruptures are rare orthopaedic injuries. Although they are generally seen after the age of 50, they may occur in younger patients with certain underlying conditions, including chronic haemodialysis. Several repair techniques have been proposed but the choice of the best method is still a matter of controversy. This paper presents the case of a renal failure patient with 10 years' history of haemodialysis treatment suffering from bilateral quadriceps tendon rupture. The treatment was with transpatellar sutures augmented with a reverse quadriceps tendon flap. His short-term clinical and radiological results are satisfactory.
股四头肌肌腱断裂是一种罕见的骨科损伤。虽然通常在50岁以后出现,但在患有某些基础疾病(包括慢性血液透析)的年轻患者中也可能发生。已经提出了几种修复技术,但最佳方法的选择仍然存在争议。本文介绍了一例有10年血液透析治疗史的肾衰竭患者双侧股四头肌肌腱断裂的病例。治疗方法是采用经髌缝线并辅以股四头肌肌腱翻转瓣。其短期临床和影像学结果令人满意。