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保留内固定器械的前交叉韧带重建术治疗Schatzker V型胫骨平台骨折:两例病例报告

Anterior cruciate ligament reconstruction with retained internal fixation hardware for treating Schatzker type V tibial plateau fracture: Two case reports.

作者信息

Ugawa Satomi, Hiyama Shuhei, Takahashi Tsuneari, Yamaguchi Naoki, Yamanaka Takuya, Matsumura Tomohiro, Takeshita Katsushi

机构信息

Department of Orthopaedic Surgery, Japan Community Health Care Organization Tokyo Takanawa Hospital, Tokyo, Japan.

Department of Orthopedic Surgery, School of Medicine, Jichi Medical University, Shimotsuke, Japan.

出版信息

Trauma Case Rep. 2023 May 16;46:100845. doi: 10.1016/j.tcr.2023.100845. eCollection 2023 Aug.

Abstract

Despite the high incidence of anterior cruciate ligament injury in patients with tibial plateau fractures, we found no reports about anterior cruciate ligament reconstruction with retained internal fixation hardware for these fractures. Herein, we report 2 male patients with Schatzker type V tibial plateau fractures and describe the use of retained hardware for internal fixation in tibia. The patients underwent anterior cruciate ligament reconstruction using outside-in technique for the femoral tunnel. Throughout the follow-up, no radiological symptoms of suspected knee osteoarthritis were observed. Accordingly, surgical intervention can be reduced by creating an independent femoral tunnel.

摘要

尽管胫骨平台骨折患者前交叉韧带损伤的发生率很高,但我们未发现有关这些骨折保留内固定硬件进行前交叉韧带重建的报道。在此,我们报告2例Schatzker V型胫骨平台骨折男性患者,并描述在胫骨内固定中使用保留硬件的情况。患者采用经外向内技术建立股骨隧道进行前交叉韧带重建。在整个随访过程中,未观察到疑似膝关节骨关节炎的放射学症状。因此,通过创建独立的股骨隧道可减少手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd64/10213086/6267a1422f89/gr3.jpg

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