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青少年陈旧性髌腱断裂的重建：一例报告

Reconstruction of a Neglected Patellar Tendon Rupture in an Adolescent: A Case Report.

作者信息

Zigras Filippos, Komnos George A, Hantes Michael

机构信息

Department of Orthopaedic Surgery & Musculoskeletal Trauma, University General Hospital of Larissa, Larissa, GRC.

Department of Orthopaedics, Larissa Hospital, Larissa, GRC.

出版信息

Cureus. 2024 Jul 4;16(7):e63844. doi: 10.7759/cureus.63844. eCollection 2024 Jul.

DOI:10.7759/cureus.63844
PMID:39104980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11298763/
Abstract

We present a case of a neglected patellar tendon rupture, misdiagnosed as an anterior cruciate ligament tear, in a 12-year-old child with open physis without an avulsion fracture. The patient was treated with an ipsilateral hamstring tendon autograft with preserved distal insertions, a transpatellar tunnel, and a transtibial fixation. At the final follow-up, the patient had a full range of motion and a fully functional knee. The described technique results in complete muscle strength, full range of motion, and pain-free gait. It can be used in chronic patellar tendon ruptures and is a valuable addition to the therapeutic quiver for this type of injury.

摘要

我们报告一例12岁开放性骨骺且无撕脱骨折的儿童，其髌腱断裂被忽视，误诊为前交叉韧带撕裂。该患者接受了保留远端附着点的同侧腘绳肌腱自体移植、经髌隧道和经胫骨固定治疗。在末次随访时，患者膝关节活动范围正常，功能完全恢复。所描述的技术可实现完全的肌肉力量、正常的活动范围和无痛步态。它可用于慢性髌腱断裂，是此类损伤治疗方法中的一项有价值的补充。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/e80390b2117c/cureus-0016-00000063844-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/004cde562f23/cureus-0016-00000063844-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/6beddc597772/cureus-0016-00000063844-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/f2ae6b6f3b3f/cureus-0016-00000063844-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/dd5c5e7c1547/cureus-0016-00000063844-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/18c3cd14810a/cureus-0016-00000063844-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/b31513ee9730/cureus-0016-00000063844-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/dfe73537dee1/cureus-0016-00000063844-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/a584b94bb1bf/cureus-0016-00000063844-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/960c649a94d5/cureus-0016-00000063844-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/6bfb64d2f023/cureus-0016-00000063844-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/fe95ad0665a7/cureus-0016-00000063844-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/e80390b2117c/cureus-0016-00000063844-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/004cde562f23/cureus-0016-00000063844-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/6beddc597772/cureus-0016-00000063844-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/f2ae6b6f3b3f/cureus-0016-00000063844-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/dd5c5e7c1547/cureus-0016-00000063844-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/18c3cd14810a/cureus-0016-00000063844-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/b31513ee9730/cureus-0016-00000063844-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/dfe73537dee1/cureus-0016-00000063844-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/a584b94bb1bf/cureus-0016-00000063844-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/960c649a94d5/cureus-0016-00000063844-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/6bfb64d2f023/cureus-0016-00000063844-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/fe95ad0665a7/cureus-0016-00000063844-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e87/11298763/e80390b2117c/cureus-0016-00000063844-i12.jpg

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本文引用的文献

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2
Clinical Outcomes are Similar Between Graft Types Used in Chronic Patellar Tendon Reconstruction: A Systematic Review.慢性髌腱重建中使用的移植物类型之间的临床结果相似：一项系统评价。
Arthrosc Sports Med Rehabil. 2022 Aug 1;4(5):e1861-e1872. doi: 10.1016/j.asmr.2022.06.007. eCollection 2022 Oct.
3
Failure Rates of Autograft and Allograft ACL Reconstruction in Patients 19 Years of Age and Younger: A Systematic Review and Meta-Analysis.
19岁及以下患者自体移植物和同种异体移植物前交叉韧带重建的失败率：一项系统评价和荟萃分析。
JB JS Open Access. 2020 Dec 30;5(4). doi: 10.2106/JBJS.OA.20.00106. eCollection 2020 Oct-Dec.
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Reconstruction of Neglected Patellar Tendon Rupture using Tendoachilles' Allograft with Transosseous Tunnels: A Case Report.使用带骨隧道的跟腱同种异体移植物重建陈旧性髌腱断裂：1例报告
J Orthop Case Rep. 2020 Aug-Sep;10(5):27-29. doi: 10.13107/jocr.2020.v10.i05.1824.
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5-year-old child with late discovered traumatic patellar tendon rupture-a case report.5岁儿童外伤性髌腱延迟发现破裂1例报告
Acta Orthop. 2018 Aug;89(4):454-456. doi: 10.1080/17453674.2018.1467846. Epub 2018 May 3.
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Acute traumatic rupture of the patellar tendon in pediatric population: Case series and review of the literature.儿童人群髌腱急性创伤性断裂：病例系列及文献综述
Injury. 2017 Nov;48(11):2515-2521. doi: 10.1016/j.injury.2017.08.069. Epub 2017 Sep 1.
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Bilateral patellar tendon reconstruction using LARS ligaments: case report and review of the literature.使用LARS韧带进行双侧髌腱重建：病例报告及文献综述
BMC Musculoskelet Disord. 2016 Jul 20;17:302. doi: 10.1186/s12891-016-1161-1.
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Knee Surg Sports Traumatol Arthrosc. 2017 Aug;25(8):2468-2473. doi: 10.1007/s00167-015-3951-7. Epub 2015 Dec 28.
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