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因腱鞘纤维瘤采用LARS韧带进行股四头肌肌腱重建。

Quadriceps tendon reconstruction with LARS ligament due to fibroma of tendon sheath.

作者信息

Xu Juncai, Chen Guangxing, Fu Dejie

机构信息

Center for Joint Surgery, The First Hospital Affiliated to Army Medical University, Chongqing, 400038, China.

Chongqing Municipal Science and Technology Bureau Key Laboratory of Precision Medicine in Joint Surgery, Chongqing, 400038, China.

出版信息

BMC Musculoskelet Disord. 2024 Dec 26;25(1):1069. doi: 10.1186/s12891-024-08194-3.

Abstract

BACKGROUND

Although chronic quadriceps tendon rupture and defect are rare, they pose significant challenges in surgical treatment. In these cases, quadriceps tendon reconstruction is necessary. Either autologous or allogeneic tendons have been used for this reconstruction. But a choice with the ligament augmentation and reconstruction system (LARS), can potentially minimize various complications associated with autologous or allogenic tendon.

CASE PRESENTATION

A 35-year-old man complained of knee pain due to recurrent fibroma of tendon sheath (FTS) in the quadriceps tendon, which had undergone arthroscopic resection 12 months ago. In this case, LARS artificial ligament was implemented to fill the space and restore knee extension function after resecting the tumor of quadriceps tendon. The patellar side of the artificial ligament was fixed by double-beam tunnel compression, and the soft tissue side was fixed by suture. During follow-up, the pain disappeared and the knee joint function also returned to normal.

CONCLUSIONS

Quadriceps tendon reconstruction with LARS ligament could achieve good clinical results and should be a good choice for defect of quadriceps tendon.

摘要

背景

尽管股四头肌肌腱慢性断裂和缺损较为罕见,但在手术治疗中却带来了重大挑战。在这些情况下,股四头肌肌腱重建是必要的。自体肌腱或异体肌腱都已用于这种重建。但是,使用韧带增强重建系统(LARS)进行选择,有可能将与自体或异体肌腱相关的各种并发症降至最低。

病例介绍

一名35岁男性因股四头肌肌腱复发性腱鞘纤维瘤(FTS)而抱怨膝关节疼痛,该患者12个月前接受了关节镜下切除术。在这种情况下,在切除股四头肌肌腱肿瘤后,采用LARS人工韧带填充间隙并恢复膝关节伸展功能。人工韧带的髌侧通过双束隧道加压固定,软组织侧通过缝合固定。随访期间,疼痛消失,膝关节功能也恢复正常。

结论

使用LARS韧带进行股四头肌肌腱重建可取得良好的临床效果,应是股四头肌肌腱缺损的良好选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d02/11670338/8bb16cec5e40/12891_2024_8194_Fig1_HTML.jpg

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