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首页> 美国卫生研究院文献>Geriatric Orthopaedic Surgery Rehabilitation >Arthroscopic Fixation of Osteochondral Avulsion Fracture of the Femoral Attachment of the Posterior Cruciate Ligament in an 82-Year-Old Patient: A Case Report
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Arthroscopic Fixation of Osteochondral Avulsion Fracture of the Femoral Attachment of the Posterior Cruciate Ligament in an 82-Year-Old Patient: A Case Report

机译：关节镜固定82岁患者后交叉韧带股骨附着的软骨软骨撕脱性骨折：一例报告

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摘要

Femoral avulsion fracture of the posterior cruciate ligament (PCL) is less common compared to the tibial side. Especially, femoral avulsion in an elderly patient is an extremely rare condition. Until now, there is no report that describes its treatment and clinical outcome in elderly patients. We demonstrate an 82-year-old female who presented with osteochondral avulsion fracture of the femoral attachment of the PCL. The osteochondral fragment was fixed with an arthroscopic transfemoral suture technique. After treatment, the pain was improved and the patient achieved previous daily activity within 6 weeks. After 6 months, plain X-ray and computed tomography scans demonstrated consolidation of osteochondral fragment. The Lysholm score was 78 points at final office visit. This simple and less invasive approach is useful for pain relief and earlier return to daily activity in an elderly patient with osteoporosis.
机译：与胫骨侧相比，后交叉韧带（PCL）的股骨撕脱性骨折不常见。特别是，老年患者的股骨撕脱是极为罕见的情况。迄今为止，还没有报道描述其在老年患者中的治疗和临床结果。我们演示了一位82岁女性，该患者呈现PCL股骨附着的软骨软骨撕脱性骨折。骨软骨碎片用关节镜经股线缝合技术固定。治疗后，疼痛得到缓解，患者在6周内恢复了以前的日常活动。 6个月后，X线平片和计算机断层扫描显示骨软骨碎片合并。最终办公室访问时，Lysholm得分是78分。对于患有骨质疏松症的老年患者，这种简单且侵入性较小的方法可用于缓解疼痛并早日恢复日常活动。

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