Takai Shinro, Shimazaki Naoya, Yoshino Nobuyuki, Watanabe Nobuyoshi, Nakachi Noriki, Kobayashi Makoto, Matsusita Takashi
Department of Orthopaedic Surgery, Teikyo University School of Medicine, Tokyo 173-8605, Japan.
Arch Orthop Trauma Surg. 2009 Oct;129(10):1383-6. doi: 10.1007/s00402-009-0856-2. Epub 2009 Mar 31.
A 24-year-old male presented with an open fracture of the left patella (Gustilo-Anderson grade III-A) and fracture of the left femoral lateral condyle, and subsequent patella alta suggesting rupture of the left patellar tendon. This initial injury was treated 6 months earlier in another hospital. He was referred because of limited knee motion and radiographs showed severe patella infera. By means of a combination of a contralateral BTB graft and soft tissue repair named anterior capsular shift, the knee contracture with patella infera was resolved successfully.
一名24岁男性,因左髌骨开放性骨折(Gustilo-Anderson III - A级)及左股骨外侧髁骨折就诊,随后出现髌高位,提示左髌腱断裂。该初始损伤于6个月前在另一家医院接受治疗。因膝关节活动受限前来就诊,X线片显示严重髌低位。通过对侧骨-髌腱-骨(BTB)移植联合名为前囊移位的软组织修复,成功解决了膝关节挛缩伴髌低位的问题。