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腘绳肌腱重建术后聚左旋/右旋丙交酯干涉螺钉的关节外及经皮移位

Extra-articular and transcutaneous migration of the poly-l/d-lactide interference screw after popliteal tendon reconstruction.

作者信息

Helito Camilo Partezani, Foni Noel O, Bonadio Marcelo Batista, Pécora José Ricardo, Demange Marco Kawamura, Angelini Fabio Janson

机构信息

Universidade de São Paulo (USP), Hospital das Clínicas, Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil.

出版信息

Rev Bras Ortop. 2017 Feb 21;52(2):233-237. doi: 10.1016/j.rboe.2017.02.001. eCollection 2017 Mar-Apr.

Abstract

Knee ligament reconstructions are commonly performed orthopedic procedures. Graft fixation is generally performed with metallic or absorbable interference screws. In a recent study, only ten reports of screw migration were retrieved; of these, only one was not related to the anterior cruciate ligament, and the majority was related to the use of poly-l-lactic acid (PLLA) screws. Only one case retrieved in the literature reported screw migration in reconstructions of the posterolateral corner, and that was to the intra-articular region. In the present article, the authors report a case of extra-articular and transcutaneous migration of a poly-l/d-lactide (PDLLA) interference screw following popliteal tendon reconstruction. Besides being the first case of popliteal tendon migration with extra-articular screw migration, no reports of PDLLA screw migration were retrieved in the literature.

摘要

膝关节韧带重建是常见的骨科手术。移植物固定通常使用金属或可吸收的干涉螺钉。在最近一项研究中,仅检索到10例螺钉移位的报告;其中,仅有1例与前交叉韧带无关,且大多数与聚左旋乳酸(PLLA)螺钉的使用有关。文献中检索到的仅有1例报告了后外侧角重建中螺钉移位,且移位至关节内区域。在本文中,作者报告了1例腘肌腱重建后聚左旋/右旋乳酸(PDLLA)干涉螺钉关节外及经皮移位的病例。这不仅是首例伴有关节外螺钉移位的腘肌腱移位病例,而且文献中未检索到PDLLA螺钉移位的报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776c/5380794/5c70ad1bdeec/gr1.jpg

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