Friederich N F, Czaja S
Klinik für Orthopädische Chrirurgie, Kantonsspital, Bruderholz, Switzerland.
Knee Surg Sports Traumatol Arthrosc. 1996;3(4):215-8. doi: 10.1007/BF01466620.
Arthroscopic-assisted and endoscopic operative techniques have allowed for less and less restrictive postoperative rehabilitation programs after cruciate ligament reconstruction. Accelerated rehabilitation programs may, however, also provoke mechanical problems at the transplant-bone interface, as reports in the literature of loosened fixation devices and loosened or even fractured bone pegs with subsequent hemarthrosis and recurrent instability have shown. We describe the case of a patient who presented with recurrent acute hemarthrosis after anterior cruciate ligament reconstruction without additional trauma and without instability. However, the symptoms and signs were clearly related to the fixation method employed.
关节镜辅助和内镜手术技术使得十字韧带重建术后的康复计划限制越来越少。然而，加速康复计划也可能引发移植骨界面的机械问题，正如文献报道中出现的固定装置松动、骨栓松动甚至骨折，随后出现关节积血和反复不稳定的情况。我们描述了一名患者的病例，该患者在进行前交叉韧带重建后，没有额外创伤且没有不稳定情况，但出现了反复的急性关节积血。然而，症状和体征与所采用的固定方法明显相关。
