Roberts C, John C, Seligson D
Department of Orthopaedic Surgery, University of Louisville School of Medicine, Kentucky 40292, USA.
Arthroscopy. 1998 Oct;14(7):779-83. doi: 10.1016/s0749-8063(98)70112-4.
As the number of patients with anterior cruciate ligament reconstructions continues to grow, a subpopulation of patients with displaced tibia-fibula fractures will emerge who have had prior anterior cruciate ligament reconstructions. Previous cruciate ligament surgery can complicate the operative treatment of tibia-fibula fractures by intramedullary nailing. Technical complications arise because the tibial tunnel-graft-screw is in the path of insertion of the intramedullary implant. We present a case in which we traced the path of the patellar tendon autograft, adjusted our entry point for the tibial intramedullary canal, and removed the interference screw to facilitate the fracture surgery. This technical note provides an approach to planning intramedullary nailing of the tibia in patients with prior anterior cruciate ligament surgery.
随着前交叉韧带重建患者数量的持续增加，将会出现一部分曾接受过前交叉韧带重建的胫腓骨骨折移位患者。既往的交叉韧带手术会使胫腓骨骨折髓内钉手术治疗变得复杂。由于胫骨隧道-移植物-螺钉位于髓内植入物的插入路径上，会出现技术并发症。我们报告了一例病例，在该病例中我们追踪了髌腱自体移植物的路径，调整了胫骨髓内通道的入口点，并取出了干扰螺钉以利于骨折手术。本技术说明提供了一种为曾接受过前交叉韧带手术的患者规划胫骨髓内钉固定的方法。
