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全膝关节置换术后使用跟腱同种异体移植重建慢性髌腱断裂

Reconstruction of a Chronic Ruptured Patellar Tendon With Achilles Tendon Allograft After Total Knee Arthroplasty.

作者信息

Carpenter Melissa, Kerzner Benjamin, Gómez-Verdejo Fernando, Shaw Jonathan, Villarreal-Espinosa Juan Bernardo, Dave Udit, Della Valle Craig, Chahla Jorge

机构信息

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.

出版信息

Arthrosc Tech. 2024 Nov 1;14(4):103295. doi: 10.1016/j.eats.2024.103295. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103295
PMID:40452988
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126055/
Abstract

Patellar tendon rupture after total knee arthroplasty is a severe complication that can result from a combination of patient-specific risk factors, surgical technique, and trauma. Several methods have been proposed to address this pathology; however, a "gold standard" has yet to be defined. In this Technical Note, the authors describe a modified surgical technique for patellar tendon reconstruction after total knee arthroplasty using a fresh-frozen Achilles tendon allograft with an attached calcaneal bone plug. Our technique aims to restore the extensor mechanism's function while offering superior stability and durability.

摘要

全膝关节置换术后髌腱断裂是一种严重的并发症，可能由患者特定的风险因素、手术技术和创伤共同导致。已经提出了几种方法来处理这种病理情况；然而，“金标准”尚未确定。在本技术说明中，作者描述了一种改良的手术技术，用于全膝关节置换术后使用带跟骨骨块的新鲜冷冻同种异体跟腱进行髌腱重建。我们的技术旨在恢复伸膝机制的功能，同时提供卓越的稳定性和耐久性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef55/12126055/2cf53695408f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef55/12126055/57914a3d13a8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef55/12126055/93564260c958/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef55/12126055/d387332eb603/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef55/12126055/a47c93dcd40a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef55/12126055/7a49c8797796/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef55/12126055/2cf53695408f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef55/12126055/57914a3d13a8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef55/12126055/93564260c958/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef55/12126055/d387332eb603/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef55/12126055/a47c93dcd40a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef55/12126055/7a49c8797796/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef55/12126055/2cf53695408f/gr6.jpg

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本文引用的文献

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Outcomes and Complications Following Chronic Patellar Tendon Repair: A Systematic Review.慢性髌腱修复后的结果与并发症：一项系统评价
Cureus. 2023 Jul 11;15(7):e41713. doi: 10.7759/cureus.41713. eCollection 2023 Jul.
2
Extensor Mechanism Reconstruction After Total Knee Arthroplasty with Allograft Versus Synthetic Mesh: A Multicenter Retrospective Cohort.全膝关节置换术后同种异体移植物与合成网片重建伸肌机制：一项多中心回顾性队列研究
J Am Acad Orthop Surg. 2023 Jan 1;31(1):e23-e34. doi: 10.5435/JAAOS-D-22-00401. Epub 2022 Oct 31.
3
Extensor mechanism reconstruction with allograft following total knee arthroplasty: a systematic review and meta-analysis of achilles tendon versus extensor mechanism allografts for isolated chronic patellar tendon ruptures.
异体移植物重建全膝关节置换术后伸肌机制：跟腱与伸肌机制异体移植物治疗孤立性慢性髌腱断裂的系统评价和荟萃分析。
Arch Orthop Trauma Surg. 2023 Jul;143(7):4411-4424. doi: 10.1007/s00402-022-04718-5. Epub 2022 Dec 3.
4
Techniques for extensor mechanism reconstruction after total knee arthroplasty: Is there a clear winner?全膝关节置换术后伸肌机制重建技术：是否有明确的优胜者？
Injury. 2022 Jun;53(6):1777-1788. doi: 10.1016/j.injury.2022.03.057. Epub 2022 Mar 26.
5
Long-term results of extensor mechanism reconstruction using Achilles tendon allograft after total knee arthroplasty.全膝关节置换术后使用同种异体跟腱重建伸膝装置的长期结果。
Int Orthop. 2018 Oct;42(10):2367-2373. doi: 10.1007/s00264-018-3848-4. Epub 2018 Mar 7.
6
Risk of vascular injury when screw drilling for tibial tuberosity transfer.胫骨结节转移术进行螺钉钻孔时血管损伤的风险。
Int Orthop. 2018 May;42(5):1165-1174. doi: 10.1007/s00264-017-3554-7. Epub 2017 Jul 9.
7
Surgical options for chronic patellar tendon rupture in total knee arthroplasty.全膝关节置换术中慢性髌腱断裂的手术选择。
Knee Surg Sports Traumatol Arthrosc. 2018 May;26(5):1429-1435. doi: 10.1007/s00167-016-4370-0. Epub 2016 Nov 5.
8
Survivorship of Extensor Mechanism Allograft Reconstruction After Total Knee Arthroplasty.全膝关节置换术后伸肌机制同种异体移植重建的存活率
J Arthroplasty. 2017 Jan;32(1):183-188. doi: 10.1016/j.arth.2016.06.031. Epub 2016 Jun 29.
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Direct Repair without Augmentation of Patellar Tendon Avulsion following TKA.全膝关节置换术后髌腱撕脱不进行增强的直接修复
Case Rep Orthop. 2015;2015:391295. doi: 10.1155/2015/391295. Epub 2015 Jan 6.
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Reconstruction of a ruptured patellar tendon with achilles tendon allograft following total knee arthroplasty.全膝关节置换术后采用跟腱同种异体移植重建破裂的髌腱
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