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一名经胫骨截肢的残奥会运动员前交叉韧带重建罕见病例的管理——病例报告

Management of a rare case of anterior cruciate ligament reconstruction in a Paralympic athlete with a transtibial amputation - a case report.

作者信息

Le Guen Alexandre, Lucena Thibaut, Laboute Eric, Cavaignac Etienne

机构信息

Department of Orthopaedic Surgery and Trauma, Hôpital Pierre Paul Riquet, Place du Dr Baylac - TSA 40031, 31059 Toulouse cedex 9, France.

C.E.R.S., Groupe Ramsay Santé, 83 Av. Mal de Lattre de Tassigny, 40130 Capbreton, France.

出版信息

SICOT J. 2025;11:23. doi: 10.1051/sicotj/2025022. Epub 2025 Apr 8.

DOI:10.1051/sicotj/2025022
PMID:40198809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11978240/
Abstract

Advances in technology, prosthetic components and rehabilitation techniques have improved the quality of life for amputees. Wearing a prosthesis enabled them to participate in sports at a high level. Participating in competitive sports puts them at risk of joint injury. This case describes a disabled professional paralympic athlete with a transtibial amputation who has torn his anterior cruciate ligament (ACL). This patient underwent anterior cruciate ligament reconstruction one year before the Paris 2024 Paralympic Games. Surgery had to be adapted in terms of the patient's operative position, choice of graft and incisions to limit conflict with the prosthesis. Anterior cruciate ligament reconstruction with an ipsilateral quadriceps tendon graft enabled the patient to return to competition and place 4th in his category at the Paris 2024 Paralympic Games. This is the first case of ACL reconstruction in a transtibial amputee reported in the literature. It highlights a rare and difficult surgical procedure that can yield good results.

摘要

技术、假肢组件和康复技术的进步提高了截肢者的生活质量。佩戴假肢使他们能够高水平地参与体育运动。参加竞技体育使他们面临关节受伤的风险。本病例描述了一名患有胫骨截肢的残疾职业残奥会运动员，其前交叉韧带（ACL）撕裂。该患者在2024年巴黎残奥会前一年接受了前交叉韧带重建手术。手术必须在患者的手术体位、移植物选择和切口方面进行调整，以减少与假肢的冲突。采用同侧股四头肌腱移植物进行前交叉韧带重建，使患者能够重返赛场，并在2024年巴黎残奥会上在其组别中获得第四名。这是文献中报道的第一例胫骨截肢者前交叉韧带重建病例。它凸显了一种罕见且困难的手术程序，但仍可取得良好效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdce/11978240/80e729f60fcd/sicotj-11-23-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdce/11978240/53709882d4e3/sicotj-11-23-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdce/11978240/bc9344aac68f/sicotj-11-23-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdce/11978240/3ec0328cce54/sicotj-11-23-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdce/11978240/e00d6f6c8b57/sicotj-11-23-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdce/11978240/80e729f60fcd/sicotj-11-23-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdce/11978240/53709882d4e3/sicotj-11-23-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdce/11978240/bc9344aac68f/sicotj-11-23-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdce/11978240/3ec0328cce54/sicotj-11-23-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdce/11978240/e00d6f6c8b57/sicotj-11-23-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdce/11978240/80e729f60fcd/sicotj-11-23-fig5.jpg

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本文引用的文献

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Single leg vertical jump performance identifies knee function deficits at return to sport after ACL reconstruction in male athletes.单腿垂直跳跃表现可识别男性运动员前交叉韧带重建后重返运动时的膝关节功能缺陷。
Br J Sports Med. 2022 May;56(9):490-498. doi: 10.1136/bjsports-2021-104692. Epub 2022 Feb 8.
2
The use of allograft tendons in primary ACL reconstruction.同种异体肌腱在初次 ACL 重建中的应用。
Knee Surg Sports Traumatol Arthrosc. 2019 Jun;27(6):1754-1770. doi: 10.1007/s00167-019-05440-3. Epub 2019 Mar 4.
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Sockets for Limb Prostheses: A Review of Existing Technologies and Open Challenges.
假肢接口：现有技术与开放性挑战综述
IEEE Trans Biomed Eng. 2018 Sep;65(9):1996-2010. doi: 10.1109/TBME.2017.2775100. Epub 2018 Jan 23.
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[Muscles of the below-knee amputees].[膝下截肢者的肌肉]
Ann Readapt Med Phys. 2008 Apr;51(3):218-27. doi: 10.1016/j.annrmp.2008.01.012. Epub 2008 Feb 27.