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中华关节外科杂志(电子版) ›› 2018, Vol. 12 ›› Issue (05) : 733 -736. doi: 10.3877/cma.j.issn.1674-134X.2018.05.025

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个案报道

1例罕见的膝关节多发韧带(肌腱)撕脱骨折
郑鹏1,(), 王奇1, 麻延林1, 高航1, 韩基雄1, 许闯1, 孙丽艳1   
  1. 1. 113006 辽宁抚顺市中心医院关节外科
  • 收稿日期:2018-04-05 出版日期:2018-10-01
  • 通信作者: 郑鹏

Rare case of multiple ligament (tendon) avulsion fractures of knee joint

Peng Zheng1(), Qi Wang1, Yanling Ma1   

  • Received:2018-04-05 Published:2018-10-01
  • Corresponding author: Peng Zheng
引用本文:

郑鹏, 王奇, 麻延林, 高航, 韩基雄, 许闯, 孙丽艳. 1例罕见的膝关节多发韧带(肌腱)撕脱骨折[J]. 中华关节外科杂志(电子版), 2018, 12(05): 733-736.

Peng Zheng, Qi Wang, Yanling Ma. Rare case of multiple ligament (tendon) avulsion fractures of knee joint[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2018, 12(05): 733-736.

图1 右膝关节抽屉实验阳性
图2 右膝三维CT图像,示右胫骨髁间棘骨折,股骨内髁侧方及上方有撕脱骨块,关节内有撕脱骨块。图A为右膝正面观;图B为右膝后面观;图C为右膝侧面观
图3 右膝MRI图像,示前交叉韧带胫骨撕脱骨折,后交叉韧带股骨撕脱骨折
图4 关节镜下右侧膝关节情况,可见外侧半月板放射裂
图5 右膝关节镜手术过程。图A为缝合钩穿过前交叉韧带引入PDS(聚对二氧杂环己酮缝线)线;图B为缝线套匝前交叉韧带;图C为前交叉定位器置于胫骨骨缺损缘处;图D为胫骨针道内穿入带有PDS线的腰穿针;图E为后交叉韧带股骨撕脱处的骨床;图F为克氏针在后交叉韧带原止点钻孔;图G为股骨内髁引入PDS线;图H为缝线缝合的后交叉韧带股骨端;图I为固定后的后交叉韧带;图J为固定后的前后交叉韧带
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