UHZ Sports Medicine Institute, Doctors Hospital, Baptist Health South Florida, 1150 Campo Sano Avenue, Suite 200, Coral Gables, FL, 33146, USA,
Clin Orthop Relat Res. 2014 Mar;472(3):1050-7. doi: 10.1007/s11999-013-3396-6. Epub 2013 Dec 12.
Effective treatment of knee extensor mechanism disruptions requires prompt diagnosis and thoughtful decision-making with surgical and nonsurgical approaches. When surgery is chosen, excellent surgical technique can result in excellent outcomes. Complications and failures arise from missed or delayed diagnoses and from technical problems in the operating room. In particular, inappropriate surgical timing (especially late surgery), misplaced patellar drill holes, and failure to address concomitant injuries can result in complications seen when repairing a patellar or quadriceps tendon tear. We review the complications that can occur during treatment of these injuries (Table 1).
治疗膝关节伸肌机制紊乱需要及时诊断,并通过手术和非手术方法进行深思熟虑的决策。当选择手术时,精湛的手术技术可以带来极佳的效果。并发症和失败源于漏诊或延迟诊断以及手术室中的技术问题。特别是,手术时机不当(尤其是晚期手术)、髌骨钻孔位置不当以及未能处理伴随损伤,可能会导致修复髌腱或股四头肌腱撕裂时出现并发症。我们回顾了治疗这些损伤时可能发生的并发症(表 1)。