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外侧股骨髁骨坏死在前交叉韧带重建后：骨挫伤是危险因素吗？

Osteonecrosis of the lateral femoral condyle following anterior cruciate ligament reconstruction: is bone bruising a risk factor?

机构信息

Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University, 2240 Daehwa-dong, Ilsanseogu, Koyangsi, Ilsan, Goyang, South Korea.

出版信息

Arch Orthop Trauma Surg. 2010 Mar;130(3):413-6. doi: 10.1007/s00402-009-0946-1. Epub 2009 Jul 25.

DOI:10.1007/s00402-009-0946-1
PMID:19633863
Abstract

Osteonecrosis of the knee is extremely rare following anterior cruciate ligament (ACL) reconstruction surgery. We report a case of osteonecrosis of the lateral femoral condyle in a patient after ACL reconstruction. The osteonecrotic lesion occurred in the same area as a large bone bruise, which was sustained at the time of the initial injury. We hypothesize that the combination of bone bruising and femoral tunnel drilling for ACL reconstruction may have compromised the overall vascularity of the articular cartilage and the subchondral bone, thereby resulting in osteonecrosis.

摘要

膝关节骨坏死在 ACL 重建手术后极为罕见。我们报告了一例 ACL 重建后发生外侧股骨髁骨坏死的病例。骨坏死病变发生在初始损伤时发生的大骨挫伤的同一区域。我们假设骨挫伤和 ACL 重建的股骨隧道钻孔的组合可能会损害关节软骨和软骨下骨的整体血液供应，从而导致骨坏死。

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