Felix Ⅳ-A假体周围骨折:1例报告和综述
Felix type Ⅳ-A knee periprosthetic fracture:A case report and literature review
卜鹏慧 1杨治 2张伪松 2胡守业2
作者信息
- 1. 西安医学院,陕西西安 710054
- 2. 西安交通大学附属红会医院骨坏死与关节重建病区,陕西西安 710054
- 折叠
摘要
全膝关节置换术后(total knee arthroplasty,TKA)假体周围骨折已成为一个日益常见和具有挑战性的骨科问题.临床中TKA术后胫骨假体周围骨折较股骨远端以及髌骨骨折少见,胫骨结节骨折合并髌腱损伤则更为罕见,在文献中很少被描述,其诊断与治疗充满挑战性.本文介绍了1例74岁女性患者,右膝骨关节炎行TKA术后4年,因下楼摔伤致右胫骨结节骨折伴髌腱损伤,骨折类型为Felix ⅣA型.手术采用缝线桥固定骨折,并联合半腱肌腱环形重建髌腱,在固定骨折断端的同时修复膝关节伸膝装置.术后10个月随访,患者获得了完全主动的膝关节伸展功能,无伸膝迟滞.此外,本文对相关文献进行综述.
Abstract
Periprosthetic fractures after total knee arthroplasty(TKA)have become a common complication,a challenging orthopedic problem.Periprosthetic fractures of the proximal tibia are less common than the distal femoral and patellar fractures,the tibial tubercle frac-tures combined with patellar tendon injuries are even rarer in clinical practice,which are rarely described in the medical literature,and their diagnosis and treatment remain a challenge.This paper describes a 74-year-old female with Felix type Ⅳ-A fracture of the right tibi-al tubercle with patellar tendon injury caused by a fall 4 years after TKA for right knee osteoarthritis.The fracture was fixed with an suture-bridge,and the patellar tendon was reconstructed with semitendinous tendon transfer.The patient achieved full active knee extension with-out knee extension retardation 10 months after the revision surgery.In addition,relative literatures were reviewed in this article.
关键词
胫骨假体周围骨折/全膝关节置换术/髌腱损伤/半腱肌腱转移Key words
total knee arthroplasty/periprosthetis fracture of the tibia/patellar tendon injury/semitendinous tendon transfer引用本文复制引用
出版年
2024
NETL
NSTL
万方数据