Praz Cesar, Kandhari Vikram Kishor, Saithna Adnan, Sonnery-Cottet Bertrand
Chirurgie Orthopédique, Centre Orthopédique Santy, Hôpital privé Jean Mermoz, Lyon, France.
Medical Technologies and Advanced Materials, Nottingham Trent University - Clifton Campus, Nottingham, UK.
BMJ Case Rep. 2019 Mar 15;12(3):e227735. doi: 10.1136/bcr-2018-227735.
Anterior cruciate ligament (ACL) rupture in the immediate build-up to a major international competition can preclude an athletes' participation due to the prolonged period of rehabilitation that is typically required after ACL reconstruction. ACL repair is an alternative strategy that has been postulated to confer the advantage of rapid rehabilitation and earlier return to sport. A 33-year-old professional alpine skier sustained a right knee ACL rupture in September 2017. The athlete indicated that she wanted to participate in the 2018 Olympics. Arthroscopic ACL repair and reconstruction of the anterolateral ligament was undertaken. At 3 months, Lachman's test revealed a hard end point, a negative pivot shift and no side-to-side laxity difference. MRI at 6 and 12 weeks demonstrated a continuous ACL with no intraligament signal change. At 20 weeks postoperatively, she successfully participated in the slalom at the 2018 Olympic Games.
在重大国际赛事即将举行之际，前交叉韧带（ACL）断裂可能会使运动员无法参赛，因为ACL重建后通常需要较长的康复期。ACL修复是一种替代策略，据推测它具有快速康复和更早重返赛场的优势。一名33岁的职业高山滑雪运动员于2017年9月右膝ACL断裂。该运动员表示她想参加2018年奥运会。于是进行了关节镜下ACL修复和前外侧韧带重建。3个月时，拉赫曼试验显示终点硬，轴移试验阴性，两侧无松弛度差异。6周和12周时的MRI显示ACL连续，韧带内无信号改变。术后20周，她成功参加了2018年奥运会的回转比赛。
