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胫骨平台骨折固定时行急性髂胫束前交叉韧带重建：一例报告

Acute Iliotibial Band ACL Reconstruction at Time of Tibial Plateau Fracture Fixation: A Case Report.

作者信息

Westbrooks Timothy, Zuelzer David, Wilson Benjamin

机构信息

Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, Kentucky.

Department of Orthopaedic Surgery, Shriners Hospital for Children, Lexington, Kentucky.

出版信息

J Orthop Case Rep. 2023 Feb;13(2):60-64. doi: 10.13107/jocr.2023.v13.i02.3558.

DOI:10.13107/jocr.2023.v13.i02.3558
PMID:37144076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10152939/
Abstract

INTRODUCTION

Tibial plateau fractures are frequently associated with associated soft-tissue injuries. Typical treatment algorithms prioritize bony stabilization followed by delayed soft-tissue reconstruction. However, when the soft-tissue injury needs urgent intervention to optimize patient outcome, early soft-tissue reconstruction may be indicated.

CASE REPORT

This case report features a high-energy tibia plateau fracture-dislocation with associated anterior cruciate ligament (ACL) and bucket-handle lateral meniscus tear sustained after a fall. The treatment of both bony and soft-tissue injury took place during a single anesthetic event by utilizing a novel application of a previously described technique for ACL reconstruction with iliotibial band (ITB) autograft.

CONCLUSION

The ITB ACL reconstruction technique can be used in adults with concomitant ACL rupture and tibial plateau fracture. This allows patients to undergo a single anesthetic event for treatment of both bony and soft-tissue injuries.

摘要

引言

胫骨平台骨折常伴有软组织损伤。典型的治疗方案是先进行骨稳定，然后延迟进行软组织重建。然而，当软组织损伤需要紧急干预以优化患者预后时，可能需要早期进行软组织重建。

病例报告

本病例报告的是一名因跌倒导致的高能胫骨平台骨折脱位，伴有前交叉韧带（ACL）损伤和桶柄状外侧半月板撕裂。通过采用一种新的应用方法，即利用先前描述的采用髂胫束（ITB）自体移植进行ACL重建的技术，在单次麻醉过程中同时处理了骨损伤和软组织损伤。

结论

ITB ACL重建技术可用于伴有ACL断裂和胫骨平台骨折的成人患者。这使得患者能够在单次麻醉过程中同时接受骨损伤和软组织损伤的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c948/10152939/d7e23c7c177b/JOCR-13-60-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c948/10152939/32ea11b6880a/JOCR-13-60-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c948/10152939/9bff11e8f2e6/JOCR-13-60-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c948/10152939/9dcddd23425a/JOCR-13-60-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c948/10152939/00ee563a3b00/JOCR-13-60-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c948/10152939/d7e23c7c177b/JOCR-13-60-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c948/10152939/32ea11b6880a/JOCR-13-60-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c948/10152939/9bff11e8f2e6/JOCR-13-60-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c948/10152939/9dcddd23425a/JOCR-13-60-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c948/10152939/00ee563a3b00/JOCR-13-60-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c948/10152939/d7e23c7c177b/JOCR-13-60-g005.jpg

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本文引用的文献

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Arthroscopy. 2022 Mar;38(3):670-672. doi: 10.1016/j.arthro.2022.01.003.
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Three-Column Classification System for Tibial Plateau Fractures: What the Orthopedic Surgeon Wants to Know.胫骨平台骨折的三柱分类系统：骨科医生想了解的内容。
Radiographics. 2021 Jan-Feb;41(1):144-155. doi: 10.1148/rg.2021200106. Epub 2020 Dec 4.
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Does Anterior Cruciate Ligament Reconstruction Protect the Meniscus and Its Repair? A Systematic Review.
前交叉韧带重建能否保护半月板及其修复？一项系统评价。
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Outcomes of Physeal-Sparing ACL Reconstruction with Iliotibial Band Autograft in Skeletally Immature Prepubescent Children.骺板保留型 ACL 重建术联合阔筋膜张肌自体移植物在骨骼未成熟的青春期前儿童中的疗效。
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A review of the management of tibial plateau fractures.胫骨平台骨折的治疗综述。
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Management of ACL Injuries in Children and Adolescents.儿童和青少年前交叉韧带损伤的管理
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Arthrofibrosis after ACL reconstruction is best treated in a step-wise approach with early recognition and intervention: a systematic review.前交叉韧带重建术后的关节纤维化最好采用早期识别和干预的阶梯式治疗方法：系统评价。
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Micheli Anterior Cruciate Ligament Reconstruction in Skeletally Immature Youths: A Retrospective Case Series With a Mean 3-Year Follow-up.米凯利法治疗骨骼未成熟青少年前交叉韧带重建：一项平均随访3年的回顾性病例系列研究
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A matched-cohort population study of reoperation after meniscal repair with and without concomitant anterior cruciate ligament reconstruction.半月板修复术联合与不联合前交叉韧带重建术后再次手术的配对队列人群研究。
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