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前交叉韧带修复术后股骨骨栓分离。

Detached femoral bone plug following anterior cruciate ligament repair.

作者信息

Richardson Michael L, Wahl Christopher J

出版信息

Radiol Case Rep. 2015 Nov 6;6(4):586. doi: 10.2484/rcr.v6i4.586. eCollection 2011.

DOI:10.2484/rcr.v6i4.586
PMID:27307945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4900027/
Abstract

We report the case of a 16-year-old woman who experienced failure of her bone-patellar tendon-bone (BPTB) reconstruction of her left anterior cruciate ligament (ACL) due to detachment of the femoral bone plug from the endobutton. We have only found one prior report of this unusual complication. This case is also notable in that evidence of this complication is visible radiographically. Most postoperative complications of ACL reconstruction can be visualized only with the assistance of magnetic resonance imaging (MRI).

摘要

我们报告了一例16岁女性患者，其左前交叉韧带（ACL）的骨-髌腱-骨（BPTB）重建术因股骨骨栓从纽扣袢处脱离而失败。我们仅发现一份关于这种罕见并发症的既往报告。该病例的显著之处还在于，这种并发症的迹象在X线片上可见。ACL重建术后的大多数并发症只有在磁共振成像（MRI）的辅助下才能显现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7e/4900027/3a1981863953/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7e/4900027/3a1981863953/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7e/4900027/3a1981863953/gr1.jpg

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本文引用的文献

1
MR imaging of complications of anterior cruciate ligament graft reconstruction.前交叉韧带重建术后并发症的磁共振成像表现。
Radiographics. 2009 Nov;29(7):2115-26. doi: 10.1148/rg.297095036.
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Intraarticular migration of a broken biodegradable interference screw after anterior cruciate ligament reconstruction.前交叉韧带重建术后折断的可生物降解加压螺钉发生关节内移位
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MR imaging evaluation of the postoperative knee.膝关节术后的磁共振成像评估
Radiology. 2005 Jan;234(1):53-61. doi: 10.1148/radiol.2341031302. Epub 2004 Nov 24.
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Dropping of an EndoButton into the knee joint 2 years after anterior cruciate ligament repair using proximal fixation methods.在前交叉韧带修复术后2年，采用近端固定方法时一个EndoButton掉入膝关节。
Arthroscopy. 2004 Jul;20(6):641-3. doi: 10.1016/j.arthro.2004.03.016.
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Complications of anterior cruciate ligament reconstruction: MR imaging.前交叉韧带重建的并发症：磁共振成像
Eur Radiol. 2003 May;13(5):1106-17. doi: 10.1007/s00330-002-1622-9. Epub 2002 Sep 3.
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MR imaging of the postoperative knee: a pictorial essay.膝关节术后的磁共振成像：图文并茂的文章
Radiographics. 2002 Jul-Aug;22(4):765-74. doi: 10.1148/radiographics.22.4.g02jl11765.
7
Revision anterior cruciate surgery with use of bone-patellar tendon-bone autogenous grafts.采用自体骨-髌腱-骨移植进行前交叉韧带手术翻修。
J Bone Joint Surg Am. 2001 Aug;83(8):1131-43. doi: 10.2106/00004623-200108000-00001.
8
Bioscrew fixation of patellar tendon autografts.髌腱自体移植物的生物螺钉固定
Biomaterials. 2000 Dec;21(24):2623-9. doi: 10.1016/s0142-9612(00)00130-7.
9
Intra-articular detachment of the Endobutton more than 18 months after anterior cruciate ligament reconstruction.前交叉韧带重建术后18个月以上关节内Endobutton纽扣钢板移位
Arthroscopy. 1999 Oct;15(7):775-8. doi: 10.1016/s0749-8063(99)70013-7.
10
Graft failure in intra-articular anterior cruciate ligament reconstructions: a review of the literature.关节内前交叉韧带重建中的移植物失败：文献综述
Arthroscopy. 1995 Jun;11(3):312-21. doi: 10.1016/0749-8063(95)90009-8.