Bodendorfer Blake M, Kotler Joshua A, Thornley Caitlin J, Postma William F
Department of Orthopaedic Surgery, Pasquerilla Healthcare Center, Georgetown University, Washington, DC.
Bone & Joint/Sports Medicine Institute, Naval Medical Center Portsmouth, Portsmouth, Virginia.
JBJS Case Connect. 2018 Apr-Jun;8(2):e34. doi: 10.2106/JBJS.CC.17.00233.
A 36-year-old woman sustained a medial tibial plateau fracture involving a tibial tunnel that had been used 4 years prior for an anterior cruciate ligament (ACL) reconstruction with a bone-patellar tendon-bone (BPTB) allograft in the same knee. At 26 months following open reduction and internal fixation of the tibial plateau fracture (6 years following the index ACL reconstruction), the patient returned to full activity.
To our knowledge, this is the first report of a tibial plateau fracture following ACL reconstruction with a BPTB allograft, which adds to the paucity of literature discussing tibial plateau fractures following ACL reconstruction and discusses the potential predisposing factors to fracture such as ACL graft selection and surgical technique.
一名36岁女性发生胫骨内侧平台骨折，骨折累及4年前在同一膝关节使用骨-髌腱-骨（BPTB）同种异体移植物进行前交叉韧带（ACL）重建时所使用的胫骨隧道。在胫骨平台骨折切开复位内固定术后26个月（初次ACL重建术后6年），患者恢复了完全活动。
据我们所知，这是首例关于BPTB同种异体移植物重建ACL术后发生胫骨平台骨折的报告，这增加了讨论ACL重建术后胫骨平台骨折的文献的稀缺性，并探讨了骨折的潜在诱发因素，如ACL移植物的选择和手术技术。
