Anderson Anthony W, Smith Joel J
Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN 55454, USA.
J Knee Surg. 2009 Apr;22(2):142-4. doi: 10.1055/s-0030-1247739.
Tibial plateau fracture after patellar tendon autograft is a documented complication of anterior cruciate ligament reconstruction. This case report describes a 24-year-old man who sustained this injury 7 years after anterior cruciate ligament (ACL) reconstruction. The patient tolerated open reduction and internal fixation of the tibial plateau. Tibial plateau fractures can occur relatively late in the recovery process after ACL reconstruction. Measures suggested to potentially reduce this complication include smaller osteotomies, use of allograft for patients with osteoporosis, and procuring the graft from the contralateral knee.
髌腱自体移植后发生胫骨平台骨折是前交叉韧带重建的一种已被记录的并发症。本病例报告描述了一名24岁男性，他在前交叉韧带（ACL）重建7年后遭受了这种损伤。患者接受了胫骨平台的切开复位内固定术。胫骨平台骨折可能在ACL重建后的恢复过程中相对较晚出现。建议的可能减少这种并发症的措施包括进行更小的截骨术、对骨质疏松患者使用同种异体移植物以及从对侧膝关节获取移植物。
