Department of Orthopaedic Surgery, MedStar Washington Hospital Center, Washington, DC.
School of Medicine, Georgetown University, Washington, DC.
JBJS Case Connect. 2020 Apr-Jun;10(2):e0092. doi: 10.2106/JBJS.CC.19.00092.
We report the case of a 44-year-old woman with previous anterior cruciate ligament (ACL) reconstruction 25 years ago in the right knee, who sustained a bucket-handle medial meniscus tear after pain and instability while pivoting during tennis. Magnetic resonance imaging demonstrated an intact but vertical and anterior ACL graft. A novel ACL retensioning procedure with suture augmentation (SA) was performed as the revision procedure. Excellent clinical outcomes and knee stability were obtained at both 17 and 36 months postoperatively.
In certain cases, ACL retensioning with SA may be performed as the revision procedure for unsuccessful primary ACL reconstruction.
我们报告了一例 44 岁女性患者，其右膝 25 年前曾行前交叉韧带（ACL）重建术，在打网球时出现疼痛和不稳定，导致内侧半月板桶柄样撕裂。磁共振成像显示 ACL 移植物完整，但垂直且靠前。作为翻修手术，我们采用了一种新型的 ACL 再固定术，即缝线增强术（SA）。术后 17 个月和 36 个月时，膝关节均获得了良好的临床效果和稳定性。
在某些情况下，对于初次 ACL 重建术失败的病例，采用 SA 的 ACL 再固定术可能作为翻修手术。
