Karns D J, Heidt R S, Holladay B R, Colosimo A J
Wellington Orthopaedics and Sports Medicine, University of Cincinnati, Ohio.
Arthroscopy. 1994 Apr;10(2):148-51; discussion 152-7. doi: 10.1016/s0749-8063(05)80082-9.
A case report is presented in which a professional football player, who was 4 years status post anterior cruciate ligament (ACL) reconstruction with autogenous patellar tendon, ruptured his graft. The contralateral patellar tendon was not available as a graft because of a more recent ACL reconstruction using that autogenous patellar tendon. This case reports the use of a previous donor site for supplying a patellar tendon autograft. Biopsy of the donor graft was consistent with normal tendon. The use of a healed patellar tendon donor site is a viable option for revision anterior cruciate reconstructive surgery. This option prevents the possibility of disease transmission with use of an allograft. We have shown grossly and histologically that the donor site has the potential to regenerate to tissue that has the appearance of normal tendon. This option could be available for revision surgery, but would not be recommended if the initial surgery was < 18 months-2 years in the past.
本文报告了一例职业足球运动员的病例，该运动员在自体髌腱重建前交叉韧带（ACL）4年后，移植肌腱发生断裂。由于对侧髌腱近期已用于自体髌腱ACL重建，无法再作为移植肌腱。本病例报告了使用先前的供区提供髌腱自体移植物的情况。供体移植物的活检结果与正常肌腱一致。使用已愈合的髌腱供区是翻修前交叉韧带重建手术的一个可行选择。该选择可避免使用同种异体移植物导致疾病传播的可能性。我们已通过大体和组织学检查表明，供区有潜力再生为外观正常的肌腱组织。此选择可用于翻修手术，但如果初次手术已过去不到18个月至2年，则不建议使用。
