改良无结缝线锚钉内固定技术修复双侧股四头肌腱断裂：手术技术与病例报告
Repair of Bilateral Quadriceps Tendon Rupture Using a Modified Knotless Suture Anchor and Internal Brace Technique: Surgical Technique and Case Report.
机构信息
First Department of Orthopedics, Affiliated Xiaolan Hospital, Southern Medical University, Zhongshan, China.
The Second School of Clinical Medicine, Southern Medical University, Zhongshan, China.
出版信息
Orthop Surg. 2022 Sep;14(9):2396-2401. doi: 10.1111/os.13362. Epub 2022 Jul 27.
BACKGROUND
Quadriceps tendon rupture (QTR) is a rare clinical condition often caused by indirect injury in healthy people. In addition, spontaneous and bilateral ruptures can occur in patients with predisposing factors, such as endocrine or rheumatic disease. Currently, several QTR repair techniques have been proposed; however, no consensus exists about the best repair technique.
CASE PRESENTATIONS
A 55-year-old man with renal failure secondary to glomerulonephritis suffered from spontaneous bilateral quadriceps tendon ruptures. Based on a knotless suture anchor and internal brace, a novel double-row suture-bridge configuration surgical approach was used to treat the patient. At 11-month follow-up, the patient maintained excellent function, with a Lysholm score of 91 for both knees.
CONCLUSIONS
This technique may be an effective method for repairing ruptured quadriceps tendons.
背景
股四头肌腱断裂（QTR）是一种罕见的临床病症，常由健康人群的间接损伤引起。此外，在具有内分泌或风湿性疾病等诱发因素的患者中，可能会发生自发性和双侧断裂。目前已经提出了几种 QTR 修复技术，但对于最佳修复技术尚未达成共识。
病例介绍
一名 55 岁男性因肾小球肾炎继发肾衰竭，出现自发性双侧股四头肌腱断裂。基于无结缝线锚钉和内固定支具，采用一种新型双排缝线桥接式外科手术方法进行治疗。在 11 个月的随访中，患者双侧膝关节的 Lysholm 评分为 91，功能保持良好。
结论
该技术可能是修复断裂的股四头肌腱的有效方法。
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