Fukuda Aki, Nakazora Shigeto, Nishimura Akinobu, Kato Ko
Department of Orthopaedic Surgery, Suzuka Kaisei Hospital, 112-1 Kou, Suzuka, Mie 513-0836, Japan.
Department of Orthopaedic and Sports Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan.
Case Rep Orthop. 2021 Nov 18;2021:1086625. doi: 10.1155/2021/1086625. eCollection 2021.
Acute patellar tendon rupture is a serious injury, resulting in the disruption of the knee extensor mechanism. Many authors recommend augmented repairs of patellar tendon ruptures to allow early active rehabilitation. An internal brace technique, which is a ligament augmentation using high-strength suture tape and knotless anchors, has been used as augmentation for the primary tendon or ligament injury. A case of acute patellar tendon rupture in a Judo player, who was successfully treated with primary repair and augmentation using an internal brace technique, is presented. In this case, the patient regained full function of the knee and returned to full sports activities postoperatively. An internal brace technique provides biomechanical stability of the repaired tendon without donor site morbidity and could be an effective procedure for the treatment of acute patellar tendon rupture.
急性髌腱断裂是一种严重损伤,会导致膝关节伸肌机制中断。许多作者推荐对髌腱断裂进行增强修复,以便早期进行主动康复。一种内部支撑技术,即使用高强度缝合带和无结锚钉进行韧带增强,已被用作对原发性肌腱或韧带损伤的增强手段。本文介绍了一例柔道运动员急性髌腱断裂的病例,该患者通过使用内部支撑技术进行一期修复和增强治疗而获得成功。在该病例中,患者术后恢复了膝关节的全部功能并重返全面的体育活动。内部支撑技术可提供修复肌腱的生物力学稳定性,且无供区并发症,可能是治疗急性髌腱断裂的一种有效方法。