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生物可吸收交叉克氏针固定股骨的并发症：一例病例报告及文献综述

Complications using bioabsorbable cross-pin femoral fixation: a case report and review of the literature.

作者信息

Hasan Saqib, Nayyar Samir, Onyekwelu Ikemefuna, Kalra Kunal, Gyftopoulos Soterios, Jazrawi Laith M

机构信息

Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY 10003, USA.

出版信息

Case Rep Radiol. 2011;2011:349230. doi: 10.1155/2011/349230. Epub 2011 Sep 25.

DOI:10.1155/2011/349230
PMID:22606541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3350046/
Abstract

The use of bioabsorbable cross-pin transcondylar fixation has remained a viable option for femoral fixation in anterior cruciate ligament reconstruction. Although numerous biomechanical studies have demonstrated high fixation strength and minimal slippage with use of this method of fixation, there have been increasing reports of a variety of clinical complications associated with these implants. We reviewed the literature for all complications associated with the Bio-TransFix implant and present a case report of a patient status after ACL reconstruction using Bio-TransFix cross-pin femoral fixation with iliotibial band friction syndrome from a broken cross-pin four month post-operatively.

摘要

在交叉韧带重建术中，使用可生物吸收的交叉针髁间固定术一直是股骨固定的可行选择。尽管大量生物力学研究表明，使用这种固定方法具有较高的固定强度和最小的滑动，但与这些植入物相关的各种临床并发症的报道日益增多。我们回顾了与Bio-TransFix植入物相关的所有并发症的文献，并报告了1例患者在接受前交叉韧带重建术后4个月因交叉针断裂出现髂胫束摩擦综合征的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e54a/3350046/bb82c7f15136/CRIM.RADIOLOGY2011-349230.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e54a/3350046/7309bf60db3d/CRIM.RADIOLOGY2011-349230.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e54a/3350046/07cb09e82e26/CRIM.RADIOLOGY2011-349230.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e54a/3350046/bb82c7f15136/CRIM.RADIOLOGY2011-349230.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e54a/3350046/7309bf60db3d/CRIM.RADIOLOGY2011-349230.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e54a/3350046/07cb09e82e26/CRIM.RADIOLOGY2011-349230.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e54a/3350046/bb82c7f15136/CRIM.RADIOLOGY2011-349230.003.jpg

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本文引用的文献

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What is the best femoral fixation of hamstring autografts in anterior cruciate ligament reconstruction?: a meta-analysis.前交叉韧带重建中腘绳肌腱自体移植物最佳股骨固定方法是什么？一项荟萃分析。
Clin Orthop Relat Res. 2011 Apr;469(4):1075-81. doi: 10.1007/s11999-010-1662-4.
2
Prospective randomized comparison of endobutton versus cross-pin femoral fixation in hamstring anterior cruciate ligament reconstruction with 2-year follow-up.腘绳肌重建前交叉韧带时采用纽扣钢板与交叉克氏针固定的前瞻性随机对照研究及2年随访
ANZ J Surg. 2010 Mar;80(3):162-5. doi: 10.1111/j.1445-2197.2009.05128.x.
3
Anterior cruciate ligament reconstruction by using bioabsorbable femoral cross pins: MR imaging findings at follow-up and comparison with clinical findings.
采用可吸收股骨交叉钉进行前交叉韧带重建：随访时的 MRI 表现与临床发现的比较。
Radiology. 2010 Apr;255(1):108-16. doi: 10.1148/radiol.09091119.
4
ACL fixation devices.前交叉韧带固定装置
Sports Med Arthrosc Rev. 2009 Dec;17(4):217-23. doi: 10.1097/JSA.0b013e3181bf668c.
5
Intraoperative complications using the Bio-Transfix femoral fixation implant in anterior cruciate ligament reconstruction.在前交叉韧带重建中使用 Bio-Transfix 股骨固定植入物的术中并发症。
Arch Orthop Trauma Surg. 2010 Mar;130(3):375-9. doi: 10.1007/s00402-009-0976-8. Epub 2009 Sep 29.
6
Biomechanical evaluation of anterior cruciate ligament femoral fixation techniques.前交叉韧带股骨固定技术的生物力学评估
Am J Sports Med. 2009 Feb;37(2):339-45. doi: 10.1177/0363546508326706. Epub 2008 Dec 17.
7
Incidence of anterior cruciate ligament injury and other knee ligament injuries: a national population-based study.前交叉韧带损伤和其他膝关节韧带损伤的发生率：一项全国性基于人群的研究。
J Sci Med Sport. 2009 Nov;12(6):622-7. doi: 10.1016/j.jsams.2008.07.005. Epub 2008 Oct 2.
8
No difference in clinical results between femoral transfixation and bio-interference screw fixation in hamstring tendon ACL reconstruction. A preliminary study.腘绳肌腱前交叉韧带重建中股骨固定与生物干扰螺钉固定的临床效果无差异：一项初步研究。
Knee. 2008 Jun;15(3):174-9. doi: 10.1016/j.knee.2008.02.003. Epub 2008 Mar 25.
9
Anterior cruciate ligament reconstruction with preservation of remnant bundle using hamstring autograft: technical note.使用自体腘绳肌腱移植保留残束进行前交叉韧带重建：技术说明
Arch Orthop Trauma Surg. 2009 Aug;129(8):1011-5. doi: 10.1007/s00402-008-0597-7. Epub 2008 Feb 26.
10
A pitfall of transfix fixation during anterior cruciate ligament reconstruction.前交叉韧带重建术中贯穿固定的一个陷阱。
Knee Surg Sports Traumatol Arthrosc. 2008 May;16(5):479-81. doi: 10.1007/s00167-008-0489-y.