半月板全内缝合修复后与缝线结相关的两种罕见并发症：病例报告。

Two Uncommon Complications Related to Suture Knots After Meniscal All-Inside Suture Repair: A Case Report.

机构信息

Department of Orthopaedic Surgery, Japan Community Health Care Organization Hoshigaoka Medical Center, Osaka, Japan.

Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.

出版信息

JBJS Case Connect. 2022 Aug 29;12(3). doi: e22.00014. eCollection 2022 Jul 1.

DOI:10.2106/JBJS.CC.22.00014

PMID:36040073

Abstract

CASE

A 17-year-old male patient suffered a radial lateral meniscus tear and underwent an arthroscopic all-inside suture repair. After 7 months, the patient experienced catching. Magnetic resonance imaging and computed tomography revealed an intra-articular loose body without calcification, which was removed surgically. The excised specimen was histopathologically confirmed to be a necrotic meniscus fragment with a suture knot. In addition, cartilage damage because of suspected impingement by a residual suture knot was observed. After removing the loose body and knot, the patient's symptoms were relieved, and he returned to sports.

CONCLUSION

Suture knot-related complications should be considered while performing meniscal repairs.

摘要

病例

一名 17 岁男性患者发生外侧半月板体部水平撕裂，接受了关节镜下全内缝合修复术。7 个月后，患者出现交锁感。磁共振成像和计算机断层扫描显示关节内无钙化的游离体，遂行手术切除。切除标本的组织病理学检查证实为带有缝线结的坏死半月板碎片。此外，还观察到由于残留缝线结撞击导致的软骨损伤。游离体和缝线结取出后，患者症状缓解，重返运动。