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青少年膝关节多韧带损伤情况下后交叉韧带胫骨撕脱骨折的改良关节镜下缝线固定术

Modified Arthroscopic Suture Fixation of Posterior Cruciate Ligament Tibial Avulsion Fracture in the Setting of Multiligament Knee Injury in Teenager.

作者信息

Quesado Miguel, Esteves Ana Sofia, da Silva Nuno Vieira, Costa Tiago, Ferreira Nuno, Nogueira Hélder

机构信息

Serviço de Ortopedia e Traumatologia, Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal.

出版信息

Case Rep Orthop. 2021 Jul 17;2021:3626276. doi: 10.1155/2021/3626276. eCollection 2021.

DOI:10.1155/2021/3626276
PMID:34336327
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8313341/
Abstract

The posterior cruciate ligament (PCL) avulsion fracture is a rare injury and occurs mainly in young patients. The development of arthroscopic techniques and fixation methods has improved the treatment of this entity. This report describes a modified arthroscopic suture fixation of a small tibial avulsion fracture of the PCL. A 17-year-old male, injured in a motorcycle crash, was admitted to the Emergency Department and diagnosed with left knee PCL tibial avulsion fracture, lateral collateral ligament (LCL) femoral avulsion fracture, and patella fracture. The PCL was fixed arthroscopically using a Knee Scorpion and two SutureTapes (Arthrex, Munich-Germany) through of an interlaced configuration at the base of the fragment using a transseptal approach and fixed distally over a cortical button on the anterior cortex. The LCL was repaired with two cannulated screws by a percutaneous approach. At 1 year of follow-up, the fragment was healed with tibiofemoral congruence, and the knee was stable with complete range of motion. The Tegner Lysholm Knee Scoring Scale (TLKSS) was 92.

摘要

后交叉韧带（PCL）撕脱骨折是一种罕见的损伤，主要发生于年轻患者。关节镜技术和固定方法的发展改善了对此类损伤的治疗。本报告描述了一种改良的关节镜下PCL胫骨小撕脱骨折缝合固定术。一名17岁男性在摩托车事故中受伤，被送往急诊科，诊断为左膝PCL胫骨撕脱骨折、外侧副韧带（LCL）股骨撕脱骨折和髌骨骨折。通过经间隔入路，使用Knee Scorpion和两根缝线带（德国慕尼黑的Arthrex公司生产）在骨折块基底部以交错方式在关节镜下固定PCL，并在远端固定于前皮质的皮质纽扣上。LCL通过经皮入路用两根空心螺钉修复。随访1年时骨折块愈合，胫股关节匹配，膝关节稳定，活动范围完全正常。Tegner Lysholm膝关节评分量表（TLKSS）评分为92分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59e/8313341/48dde49e2c5c/CRIOR2021-3626276.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59e/8313341/37792579004e/CRIOR2021-3626276.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59e/8313341/cb4b76c9abe6/CRIOR2021-3626276.002.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59e/8313341/f2c8e9d4f322/CRIOR2021-3626276.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59e/8313341/b16633dd8bc3/CRIOR2021-3626276.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59e/8313341/de6149774d1c/CRIOR2021-3626276.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59e/8313341/48dde49e2c5c/CRIOR2021-3626276.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59e/8313341/37792579004e/CRIOR2021-3626276.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59e/8313341/cb4b76c9abe6/CRIOR2021-3626276.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59e/8313341/96d62ea09d50/CRIOR2021-3626276.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59e/8313341/6aeb7610057f/CRIOR2021-3626276.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59e/8313341/f2c8e9d4f322/CRIOR2021-3626276.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59e/8313341/b16633dd8bc3/CRIOR2021-3626276.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59e/8313341/de6149774d1c/CRIOR2021-3626276.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59e/8313341/48dde49e2c5c/CRIOR2021-3626276.008.jpg

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