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一名国家柔道冠军的病例报告：半月板同种异体移植后有可能重返高水平接触性运动吗？

A Case Report of a National Judo Champion: Is Return to High-Level Contact Sports Possible After Meniscus Allograft Transplantation?

作者信息

Vanbiesbroeck Fiona, Vandenrijt Jasper, Van Glabbeek Francis, Verdonk Peter, Heusdens Christiaan H

机构信息

Orthopaedics, University of Antwerp, Antwerp, BEL.

Orthopaedics, Antwerp University Hospital, Antwerp, BEL.

出版信息

Cureus. 2024 Mar 23;16(3):e56764. doi: 10.7759/cureus.56764. eCollection 2024 Mar.

DOI:10.7759/cureus.56764
PMID:38650767
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11034290/
Abstract

Meniscus allograft transplantation (MAT) is a surgical procedure reserved for (relatively) younger individuals who remain symptomatic after the resection of a voluminous part of the meniscus. Return to sports and certainly the level of sport post-MAT are highly variable. We present a unique case of a national judo champion who was able to compete at the highest level following MAT. Considerations regarding the rehabilitation and follow-up of this patient are provided, and the risk of rerupture is discussed. Although returning to high-level contact sports post-MAT is possible, the risk of rerupture should be considered.

摘要

同种异体半月板移植（MAT）是一种外科手术，适用于（相对）年轻的个体，这些个体在切除大部分半月板后仍有症状。恢复运动，尤其是MAT术后的运动水平差异很大。我们介绍了一个独特的案例，一名国家柔道冠军在MAT术后能够在最高水平上参赛。文中提供了关于该患者康复和随访的考虑因素，并讨论了再次破裂的风险。虽然MAT术后有可能恢复到高水平的接触性运动，但应考虑再次破裂的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ac/11034290/b6345e2621a9/cureus-0016-00000056764-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ac/11034290/650c0842b75b/cureus-0016-00000056764-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ac/11034290/5dd24a8b41a6/cureus-0016-00000056764-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ac/11034290/87d43a3e07e6/cureus-0016-00000056764-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ac/11034290/58840a9f4518/cureus-0016-00000056764-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ac/11034290/7647d905b3f6/cureus-0016-00000056764-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ac/11034290/457267bccd72/cureus-0016-00000056764-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ac/11034290/b6345e2621a9/cureus-0016-00000056764-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ac/11034290/650c0842b75b/cureus-0016-00000056764-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ac/11034290/5dd24a8b41a6/cureus-0016-00000056764-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ac/11034290/87d43a3e07e6/cureus-0016-00000056764-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ac/11034290/58840a9f4518/cureus-0016-00000056764-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ac/11034290/7647d905b3f6/cureus-0016-00000056764-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ac/11034290/457267bccd72/cureus-0016-00000056764-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ac/11034290/b6345e2621a9/cureus-0016-00000056764-i07.jpg

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本文引用的文献

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Res Sports Med. 2024 May-Jun;32(3):465-478. doi: 10.1080/15438627.2022.2126777. Epub 2022 Sep 20.
2
Long sports career and satisfactory clinical outcomes after Meniscal Allograft Transplantation (MAT) in young professional athletes involved in strenuous sports.在从事剧烈运动的年轻职业运动员中，半月板同种异体移植（MAT）后的长期运动生涯和满意的临床结果。
Knee Surg Sports Traumatol Arthrosc. 2022 Jul;30(7):2314-2319. doi: 10.1007/s00167-021-06779-2. Epub 2021 Nov 23.
3
All-Arthroscopic Meniscal Allograft Transplantation Technique with Bone Plugs and Preloaded Sutures.
采用骨栓和预加载缝线的全关节镜下半月板同种异体移植技术
Arthrosc Tech. 2020 Sep 29;9(9):e1357-e1362. doi: 10.1016/j.eats.2020.05.015. eCollection 2020 Sep.
4
High rate of return-to-play following meniscal allograft transplantation.半月板同种异体移植后较高的重返赛场率。
Knee Surg Sports Traumatol Arthrosc. 2020 Nov;28(11):3561-3568. doi: 10.1007/s00167-020-05956-z. Epub 2020 Apr 8.
5
Meniscal Allograft Transplantation: Indications, Techniques, Outcomes.半月板同种异体移植：适应证、技术、结果。
Arthroscopy. 2020 Apr;36(4):938-939. doi: 10.1016/j.arthro.2020.01.025.
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The International Knee Documentation Committee Score Indicates Midterm Patient Satisfaction with Outcomes after Meniscal Allograft Transplantation.国际膝关节文献委员会评分表明半月板同种异体移植术后患者对中期疗效的满意度。
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