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韧带增强重建系统人工韧带在髌腱重建中的应用——多次手术后慢性髌腱断裂:一例报告

Ligament augmentation reconstruction system artificial ligaments in patellar tendon reconstruction - a chronic patellar tendon rupture after multiple operations: A case report.

作者信息

Yang Fei, Wang Guo-Dong, Huang Rong, Ma Hui, Zhao Xiao-Wei

机构信息

School of Clinical Medicine, Jining Medical University, Jining 272067, Shandong Province, China.

Department of Orthopedics, The Affiliated Hospital of Jining Medical University, Jining 272000, Shandong Province, China.

出版信息

World J Clin Cases. 2020 Feb 26;8(4):831-837. doi: 10.12998/wjcc.v8.i4.831.

Abstract

BACKGROUND

Patellar tendon rupture is a rare disease, and reports regarding patellar tendon reconstruction with ligament augmentation reconstruction system (LARS) ligaments are limited, with only three reports available in the literature. LARS ligaments are made of polyethylene terephthalate and have been certified as a more favorable option than other tendon transplants. To our knowledge, this is the first report of patellar tendon reconstruction with LARS for suture fixation due to poor quality of the tendon after multiple operations to enable early mobilization and quick rehabilitation.

CASE SUMMARY

A 65-year-old woman had limited ability in extending her leg and an inability to perform a straight leg raise after multiple operations due to patella fracture. The patient underwent patellar tendon reconstruction with LARS artificial ligaments. After 12 mo of follow-up, the patient was able to perform a straight leg raise, and the incision healed well without complications. The Lysholm score was 95 and the range of motion of the knee was 0-130°.

CONCLUSION

This study revealed that patellar tendon reconstruction with LARS artificial ligaments is possible in a patient with a patellar tendon rupture who required rapid postoperative recovery.

摘要

背景

髌腱断裂是一种罕见疾病,关于使用韧带增强重建系统(LARS)韧带进行髌腱重建的报道有限,文献中仅有三篇报道。LARS韧带由聚对苯二甲酸乙二酯制成,已被证明是比其他肌腱移植更有利的选择。据我们所知,这是首例因多次手术后肌腱质量差而使用LARS进行髌腱重建以进行缝合固定,从而实现早期活动和快速康复的报道。

病例摘要

一名65岁女性因髌骨骨折多次手术后伸膝能力受限,无法进行直腿抬高。该患者接受了LARS人工韧带髌腱重建术。随访12个月后,患者能够进行直腿抬高,切口愈合良好,无并发症。Lysholm评分95分,膝关节活动范围为0-130°。

结论

本研究表明,对于需要术后快速恢复的髌腱断裂患者,使用LARS人工韧带进行髌腱重建是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a45d/7052563/e4ec3c6d49ec/WJCC-8-831-g001.jpg

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