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同期前交叉韧带重建与异体骨软骨移植治疗股骨外侧髁撞击骨折:1例报告

Simultaneous ACL Reconstruction and Osteochondral Allograft Transplantation for Lateral Femoral Condyle Impaction Fractures: A Case Report.

作者信息

Prigmore Brian, Fullmer Daniel, Carlson Christie, Crawford Dennis C

机构信息

Oregon Health & Science University, Portland, Oregon.

出版信息

JBJS Case Connect. 2025 Aug 8;15(3). doi: 10.2106/JBJS.CC.25.00137. eCollection 2025 Jul 1.

Abstract

CASE

Lateral femoral condyle impaction fractures (LFC-IF) are known to occur in the setting of anterior cruciate ligament (ACL) tears. We present 3 cases of combined LFC-IF and ACL tears treated simultaneously with osteochondral allograft (OCA) transplantation and ACL reconstruction, respectively. The first patient is a 45-year-old man who sustained an LFC-IF with concomitant ACL, posterior cruciate ligament, medial collateral ligament, and lateral meniscus tears. The second and third patients are 38-year-old and 40-year-old men who both sustained LFC-IFs and lateral meniscus tears.

CONCLUSION

These are the first reported cases of LFC-IF and ACL tears treated successfully with simultaneous OCA transplantation and ACL reconstruction.

摘要

病例

已知外侧股骨髁撞击骨折(LFC - IF)发生在前交叉韧带(ACL)撕裂的情况下。我们报告3例同时合并LFC - IF和ACL撕裂的病例,分别采用同种异体骨软骨移植(OCA)和ACL重建进行治疗。首例患者为一名45岁男性,其遭受LFC - IF并伴有ACL、后交叉韧带、内侧副韧带和外侧半月板撕裂。第二例和第三例患者分别为38岁和40岁男性,均遭受LFC - IF和外侧半月板撕裂。

结论

这些是首次报道的通过同时进行OCA移植和ACL重建成功治疗LFC - IF和ACL撕裂的病例。

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