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在处于坦纳3期且骨骺未闭的患者中采用自体骨-髌腱-骨移植进行前交叉韧带重建。

Anterior cruciate ligament recostruction with bone-patellar tendon-bone autograft in Tanner 3 stage patients with open physes.

作者信息

Memeo Antonio, Pedretti Leopoldo, Miola Francesca, Albisetti Walter

机构信息

aIstituto Ortopedico G. Pini bDepartment of Orthopaedics and Rehabilitation, Università degli Studi of Milan, Milan, Italy.

出版信息

J Pediatr Orthop B. 2012 Sep;21(5):415-20. doi: 10.1097/BPB.0b013e328348aa47.

DOI:10.1097/BPB.0b013e328348aa47
PMID:21886009
Abstract

Ten skeletally immature patients were treated with an arthroscopic-assisted anterior cruciate ligament reconstruction with bone-patellar tendon bone autograft (compass, 50-55°; holes, 7-9 mm). Radiological assessments (standard radiograph), Orthopädische Arbeitsgruppe Knie (OAK) score and KT 1000, were conducted on all patients, 1 year after surgery. Skeletal maturity had been reached by all patients and no complications were observed. All patients returned to their preinjury sport level. Drilling more vertical tunnels when bone-tendon-bone autograft was chosen to avoid partial epiphysiodesis and offers good functional and isometric results.

摘要

10例骨骼未成熟患者接受了关节镜辅助下自体骨-髌腱-骨前交叉韧带重建术(罗盘,50-55°;钻孔,7-9mm)。术后1年对所有患者进行了放射学评估(标准X线片)、德国膝关节外科工作组(OAK)评分和KT 1000测量。所有患者均达到骨骼成熟,未观察到并发症。所有患者均恢复到伤前的运动水平。选择自体骨-腱-骨移植时,钻更垂直的隧道以避免部分骺板阻滞,并可提供良好的功能和等长结果。

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