Leitner A, Meissner A, Rahmanzadeh R
Abteilung für Unfall- und Wiederherstellungschirurgie, Klinikum Steglitz der FU Berlin.
Aktuelle Traumatol. 1990 Oct;20(5):231-6.
Ten cases of rupture of quadriceps tendon and seven cases of rupture of the patellar ligament were studied. All patients were reexamined. One must differentiate between rupture of the quadriceps tendon (tendon ruptures in elderly patients with degeneratively changed tendon in trivial trauma) and rupture of the patellar tendon (tendon rupture in younger patients with considerable trauma). All the patients were discussed with regard to accident mechanism, histology, underlying systemic and local diseases, therapy and results. There were good results in all patients with rupture of the patella tendon. In seven of the ten patients with quadriceps tendon rupture, we noted also good results. Three patients had residual pain and restricted motion and function of the knee. In two of these cases, diagnosis and reconstruction was delayed for months, the other patient had an infection of an implanted knee endoprosthesis in the injured knee.
对10例股四头肌肌腱断裂和7例髌韧带断裂患者进行了研究。对所有患者进行了复查。必须区分股四头肌肌腱断裂(老年患者在轻微创伤中肌腱发生退行性改变时的肌腱断裂)和髌腱断裂(年轻患者在遭受严重创伤时的肌腱断裂)。对所有患者就事故机制、组织学、潜在的全身和局部疾病、治疗方法及结果进行了讨论。所有髌腱断裂患者均取得了良好的治疗效果。在10例股四头肌肌腱断裂患者中,有7例也取得了良好的治疗效果。3例患者仍有残留疼痛,膝关节活动和功能受限。其中2例患者的诊断和重建延迟了数月,另1例患者受伤膝关节植入的膝关节假体发生了感染。