Levy Daniel L, Ryan Martin J, Watters Tyler S, Jennings Jason M, Miner Todd M
Colorado Joint Replacement, Department of Orthopaedic Surgery, Porter Adventist Hospital, Denver, CO, USA.
Arthroplast Today. 2016 Jan 20;2(1):2-5. doi: 10.1016/j.artd.2015.12.005. eCollection 2016 Mar.
A 44-year-old female presented with a chief complaint of left knee pain and dysfunction. The patient had a complex surgical history including patellar fracture repair, subsequent patellar ligament repair, and ultimately allograft reconstruction which was complicated by septic arthritis requiring graft resection. On presentation to our clinic, she was noted to have significant degenerative disease in addition to chronic extensor mechanism deficiency. She underwent primary total knee arthroplasty with concomitant tibial tubercle osteotomy and advancement. The patient has had an excellent result postoperatively including return of full range of motion without residual extensor lag.
一名44岁女性因左膝疼痛和功能障碍为主诉前来就诊。该患者有复杂的手术史，包括髌骨骨折修复、随后的髌韧带修复，最终进行了同种异体移植重建，但因感染性关节炎需要切除移植物而出现并发症。在来我们诊所就诊时，发现她除了有慢性伸肌机制缺陷外，还患有严重的退行性疾病。她接受了初次全膝关节置换术，并同时进行了胫骨结节截骨术和前移术。该患者术后效果极佳，包括恢复了全范围活动且无残留伸肌滞后。
