Benner Rodney W, Shelbourne K Donald, Freeman Heather
Department of Orthopaedic Surgery, UT-Memphis/Campbell Clinic, Memphis, Tennessee.
Shelbourne Knee Center, Indianapolis, Indiana.
J Knee Surg. 2013 Dec;26 Suppl 1:S123-7. doi: 10.1055/s-0032-1324810. Epub 2012 Sep 21.
This is a case report of a young athlete who sustained a partial tear of the patellar tendon after anterior cruciate ligament (ACL) reconstruction with a bone-patellar tendon-bone (BPTB) autograft. The injury, diagnostic workup, and decision-making process that lead to the choice of nonsurgical treatment are described. Furthermore, the rehabilitation process is described in detail. The patient returned to his previous level of sports activity and had a good clinical outcome as measured by range of motion, isokinetic quadriceps muscle strength testing, single leg hop testing, and the modified Noyes survey. In the absence of extensor mechanism incompetence or radiographic evidence of significant patella alta, partial ruptures of the patella tendon after ACL reconstruction using a BPTB autograft may be treated nonoperatively.
这是一例年轻运动员的病例报告，该运动员在采用骨-髌腱-骨（BPTB）自体移植进行前交叉韧带（ACL）重建后，髌腱发生部分撕裂。文中描述了导致选择非手术治疗的损伤情况、诊断检查及决策过程。此外，还详细描述了康复过程。通过活动范围、等速股四头肌肌力测试、单腿跳测试及改良的诺伊斯调查评估，患者恢复到了先前的运动水平，临床效果良好。在没有伸膝机制功能不全或明显高位髌骨的影像学证据的情况下，使用BPTB自体移植进行ACL重建后发生的髌腱部分断裂可采用非手术治疗。
