Stoke Mandeville Hospital, 43 Aston House, Mandeville Road, Aylesbury, Buckinghamshire, UK.
Arch Orthop Trauma Surg. 2010 Mar;130(3):375-9. doi: 10.1007/s00402-009-0976-8. Epub 2009 Sep 29.
The use of biodegradable Transfix femoral fixation technique is a safe and well-accepted method when performing anterior cruciate ligament reconstruction. We report on three cases of deformation and back out of the Bio-Transfix implant over the lateral, distal femoral cortex, with failure of the passing wire when advancing the graft into the femoral tunnel in one of these patients. Two of the patients presented with symptoms of iliotibial band friction syndrome, while the third patient was asymptomatic. The graft had clinically integrated demonstrating AP and rotational stability. The symptoms relieved after removal of the failed Bio-Transfix implants in the symptomatic patients. The aetiology of the implant failure and the alternative methods to avoid such complications are discussed.
当进行前交叉韧带重建时，使用可生物降解的 Transfix 股骨固定技术是一种安全且被广泛接受的方法。我们报告了三个病例，即 Bio-Transfix 植入物在外侧、股骨远端皮质上变形并退出，其中一名患者在将移植物推进股骨隧道时，导丝失败。其中两名患者出现了髂胫束摩擦综合征的症状，而第三名患者无症状。移植物具有临床整合的表现，显示出前后和旋转稳定性。在有症状的患者中，移除失败的 Bio-Transfix 植入物后，症状得到缓解。讨论了植入物失败的病因以及避免此类并发症的替代方法。
