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多韧带损伤情况下前交叉韧带的股骨撕脱：一个独特病例

Femoral Avulsion of the Anterior Cruciate Ligament in a Multiligament Setting: A Unique Case.

作者信息

Mhaskar Vikram Arun, Mahehswari Jitendra, Sansanwal Manjeet

机构信息

Knee & Shoulder Clinic, New Delhi, India.

出版信息

Knee Surg Relat Res. 2019 Jun 1;31(2):137-142. doi: 10.5792/ksrr.18.065.

DOI:10.5792/ksrr.18.065
PMID:30893987
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6561668/
Abstract

Anterior cruciate ligament (ACL) femoral avulsions are a rare entity mainly seen in children. We describe a unique case of a bony ACL avulsion with a medial collateral ligament (MCL) and lateral meniscus (LM) tear in a 37-year-old patient who sustained a two-wheeler accident. The ACL femoral avulsion was fixed arthroscopically using a Knee Scorpion and a FiberTape fixed over a suture disc on the lateral cortex. The MCL was repaired with an internal brace using a FiberTape and two SwiveLocks and the torn LM was repaired using all-inside sutures. At 2 years of follow-up, the fragment was united, knee range of motion was 0° to 130°, and Knee Society Score was 98. This is the first case report of a femoral avulsion of the ACL combined with an MCL injury and a meniscus tear where all three were repaired with a unique technique and good results were obtained.

摘要

前交叉韧带（ACL）股骨撕脱伤是一种罕见的病症，主要见于儿童。我们描述了一例独特的病例，一名37岁的患者因两轮摩托车事故导致骨性ACL撕脱，并伴有内侧副韧带（MCL）和外侧半月板（LM）撕裂。通过关节镜使用Knee Scorpion将ACL股骨撕脱伤固定，并在外侧皮质的缝合盘上使用FiberTape进行固定。使用FiberTape和两个旋转锁扣通过内置支架修复MCL，使用全内缝合修复撕裂的LM。随访2年时，骨折块愈合，膝关节活动范围为0°至130°，膝关节协会评分98分。这是首例ACL股骨撕脱合并MCL损伤和半月板撕裂且采用独特技术对三者均进行修复并取得良好效果的病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1e/6561668/d85759dae5ad/ksrr-31-137f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1e/6561668/9a79639b87ae/ksrr-31-137f1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1e/6561668/08e742bed88a/ksrr-31-137f5.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1e/6561668/d85759dae5ad/ksrr-31-137f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd1e/6561668/9a79639b87ae/ksrr-31-137f1.jpg
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本文引用的文献

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Femoral avulsion fracture of ACL proximal attachment in male scuba diver: case report and review of the literature.男性潜水员前交叉韧带近端附着处股骨撕脱骨折：病例报告及文献综述
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