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采用合成网片加强的股骨远端置换及伸膝装置修复治疗合并髌韧带撕脱的股骨远端骨折

Distal Femoral Replacement and Extensor Mechanism Repair Reinforced With Synthetic Mesh for Distal Femur Fracture With Patellar Ligament Avulsion.

作者信息

Powell Charles, Sanders Kristopher, Huang Neal, Colón Luis Felipe, Norton Colton

机构信息

Department of Orthopaedic Surgery, University of Tennessee at Chattanooga, Chattanooga, TN, USA.

Department of Orthopaedic Surgery, Erlanger Health System Center, Chattanooga, TN, USA.

出版信息

Arthroplast Today. 2022 May 23;16:31-38. doi: 10.1016/j.artd.2022.04.001. eCollection 2022 Aug.

DOI:10.1016/j.artd.2022.04.001
PMID:35647247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9136045/
Abstract

Acute patellar ligament disruption in the setting of a distal femur fracture is an uncommon presentation with a variety of treatment options available to the practitioner. The following case report presents an 85-year-old female with a highly comminuted supracondylar distal femur fracture with intercondylar extension and a soft-tissue avulsion of the patellar ligament insertion discovered intraoperatively. A detailed technique review for acute patellar ligament repair with suture anchors and synthetic mesh reinforcement in the setting of distal femoral replacement is then provided. One-year follow-up revealed an intact extensor mechanism with minimal extensor lag and a painless gait. Surgeons faced with such a unique, complex problem may consider mesh augmentation of an acute patellar ligament repair while performing distal femoral replacement.

摘要

股骨远端骨折合并急性髌韧带断裂是一种不常见的情况，医生有多种治疗选择。以下病例报告介绍了一名85岁女性，患有高度粉碎性股骨远端髁上骨折并累及髁间，术中发现髌韧带止点处有软组织撕脱。随后提供了在股骨远端置换情况下使用缝合锚钉和合成网片加强进行急性髌韧带修复的详细技术回顾。一年的随访显示伸膝机制完整，伸膝滞后最小，步态无痛。面对如此独特、复杂问题的外科医生在进行股骨远端置换时可考虑用网片加强急性髌韧带修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f666/9136045/8f2383924529/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f666/9136045/a90be5c0c1a6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f666/9136045/1e578b246a46/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f666/9136045/4c4c9581fbc4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f666/9136045/19d882b3aac3/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f666/9136045/8f2383924529/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f666/9136045/a90be5c0c1a6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f666/9136045/1e578b246a46/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f666/9136045/4c4c9581fbc4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f666/9136045/19d882b3aac3/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f666/9136045/8f2383924529/gr5.jpg

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