El Alaoui Adil, Rabhi Ilyas
Service de Chirurgie Orthopédique du Centre Hospitalier de Chambéry, Chambéry, France.
Pan Afr Med J. 2016 Feb 10;23:37. doi: 10.11604/pamj.2016.23.37.8324. eCollection 2016.
We report the case of a 25-year-old patient who suffered a ski accident that causing a serious knees sprain. The patient underwent immobilization by plaster knees. After 12 rehabilitation sessions, good progress was noticed in terms of pain. However, the patient is unstable when walking and a positive Trillat Lachman sign at both knees is observed. MRI of Knees confirmed a bilateral rupture of the anterior cruciate ligament (figures A, B). We conducted a ligament ACL with the DIDT technique on both knees, beginning with the left- side. After the surgery, everything was normal. X-ray controls (face and profile views) of both knees showed a good positioning of implants (figures C, D). Rehabilitation was undertaken the day following the surgery. Six months later, the patient was able to return to sport.
我们报告了一名25岁患者的病例，该患者在滑雪事故中导致严重的膝盖扭伤。患者接受了膝盖石膏固定。经过12次康复治疗后，疼痛方面有了明显改善。然而，患者行走时不稳定，双膝Trillat Lachman征呈阳性。膝关节MRI证实双侧前交叉韧带断裂（图A、B）。我们采用DIDT技术对双膝进行了前交叉韧带手术，先从左侧开始。手术后，一切正常。双膝的X线检查（正位和侧位片）显示植入物位置良好（图C、D）。术后第二天开始康复治疗。六个月后，患者能够恢复运动。
