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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Immediate Donor Site Complications after Anterior Cruciate Ligament Reconstruction with Bone-Patellar Tendon-Bone Autograft: 2 Case Reports
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Immediate Donor Site Complications after Anterior Cruciate Ligament Reconstruction with Bone-Patellar Tendon-Bone Autograft: 2 Case Reports

机译：与骨头髌骨肌腱 - 骨自体移植骨韧带重建后立即供体部位并发症：2例报告

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With the increasing number of anterior cruciate ligament reconstructions (ACL-R), complications after reconstruction are likely to become more frequent. Patellar fracture is a rare but significant complication following ACL reconstruction when using a bone-patellar tendon-bone (BPTB) autograft. This case report presents 1 simple patellar fracture, 1 patellar comminuted fracture with associated patellar tendon rupture which occurred acutely after ACL reconstruction using BPTB graft. Methods: Case 1: 17-year-old female. Nondisplaced linear lateral pole patellar fracture was first noticed at post-op 6 weeks followed-up. There was no subjectively complaint issued by the patient after the operation. She was managed conservatively with closed follow up until the fracture had healed. Case 2: 37-year-old woman, 6 weeks after operation. The patient slipped on a wet floor and injured the operated knee joint. Patellar lower pole comminuted fracture with complete patella tendon tear was diagnosed. Open reduction and internal fixation of the fracture and patella tendon repair were performed. Results: Case 1: She achieved full fracture union at 3 months, is 76 months post-operatively. She is currently active in sports activities without any problem. Case 2: The fracture healed at 2 months; she has had full, active knee joint extension and full ROM of the knee joint at 3 months post-operatively. She is now 9 months after the primary ACL-R surgery, is well on track with our ACL-R rehabilitation program. Discussion: Case 1 fracture was believed to happen at the time of graft harvesting without our noticing. Case 2 had a fall and caused a more complicated donor site problem. Though rare, these complications cause major post-operative and rehabilitation problems. Closed follow-up, early detection with immediate intervention should be warranted after ACL-R surgeries.
机译：随着越来越多的前十字韧带重建（ACL-R），重建后的并发症可能变得更加频繁。在使用骨头髌骨肌腱 - 骨（BPTB）的自体移植后，髌骨骨折是罕见但在ACL重建后的罕见并发症。本病例报告显示1个简单的髌骨骨折，1个髌骨粉碎骨折，伴有相关髌骨肌腱破裂，使用BPTB移植物在ACL重建后急性发生。方法：案例1：17岁女性。首先在OP后6周后第一次注意到非空间线性侧杆髌骨骨折。患者在运作后没有主观申诉。她保守地管理，闭合后继续前进，直到骨折愈合。案例2：37岁的女性，手术后6周。病人在湿地板上滑动并损伤了操作的膝关节。髌骨下杆粉碎骨折与完全髌骨肌腱撕裂。进行了裂缝和髌骨肌腱修复的开放和内固定。结果：案例1：她在3个月内实现了全部骨折联盟，可操作地76个月。她目前在没有任何问题的情况下积极参与体育活动。案例2：骨折在2个月愈合;她在手术后3个月内拥有完整的，积极的膝关节延长和膝关节的全圈。她现在在主要的ACL-R手术后9个月，很好地追踪我们的ACL-R康复计划。讨论：案例1骨折被认为在没有我们注意的情况下在移植物收获时发生。案例2跌幅并导致更复杂的捐助部位问题。虽然罕见，但这些并发症会导致术后和康复问题的主要问题。闭合后续行动，在ACL-R手术后应有立即干预的早期检测。

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