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膝关节自体骨片固定骨软骨碎片——病例报告

Fixation of an Osteochondral Fragment with Autologous Bone Picks in the Knee - A Case Report.

作者信息

Resch Elemar da Silva, Machry Sandrey da Rosa, Zottis Caio César, Barros Fernando Knoll

机构信息

Ortopedia e Traumatologia, Hospital Universitário de Santa Maria, Santa Maria, RS, Brasil.

Ortopedia e Traumatologia, Hospital Independência, Porto Alegre, RS, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2024 Aug 1;59(Suppl 2):e145-e148. doi: 10.1055/s-0044-1787550. eCollection 2024 Nov.

Abstract

Osteochondral injuries in the knee are uncommon in the immature skeleton and are usually related to sporting activities. Fixation is required depending on the size and location of the fragment. The standard technique is open reduction and internal fixation with metal screws, which are removed in a second procedure after consolidation. As an alternative to reduce risk and morbidity, fixation of the osteochondral fragment may use autologous bone picks. This study reports the execution of this surgical technique on a 13-year-old patient who injured his right knee during a soccer match.

摘要

膝关节的骨软骨损伤在未成熟骨骼中并不常见,通常与体育活动有关。根据碎片的大小和位置需要进行固定。标准技术是切开复位并用金属螺钉内固定,在骨愈合后的第二次手术中取出螺钉。作为降低风险和发病率的替代方法,骨软骨碎片的固定可使用自体骨栓。本研究报告了对一名在足球比赛中右膝受伤的13岁患者实施该手术技术的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e808/11679627/e0fdb4141d72/10-1055-s-0044-1787550-i2300129en-1.jpg

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