Snapping Complication After Partial-Thickness Quadriceps Tendon Autograft Anterior Cruciate Ligament Reconstruction: A Report of 2 Cases.

Q4 Medicine

JBJS case connector Pub Date : 2024-07-19 eCollection Date: 2024-07-01 DOI:10.2106/JBJS.CC.24.00101

Cody C Ashy, Henry Bg Baird, Harris S Slone, W Michael Pullen

引用次数: 0

Abstract

Case: A 14-year-old adolescent girl and 18-year-old man underwent right anterior cruciate ligament (ACL) reconstruction using quadriceps tendon (QT) autografts via partial-thickness harvest. While both patients initially recovered well, later they experienced a painful snapping in their knee localized to the lateral QT, just proximal to the patella. Surgical completion of the previous partial-thickness defect with imbrication provided resolution of symptoms at 4 and 9 months postoperatively, respectively.

Conclusion: We present a snapping QT as a rare complication of partial-thickness QT harvest for ACL reconstruction. Surgical completion of the partial-thickness defect with imbrication resolved the snapping sensation in these two cases.

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部分厚度股四头肌腱自体移植前交叉韧带重建术后的断裂并发症：2 例报告。

病例：一名 14 岁的少女和一名 18 岁的男子接受了右膝关节前交叉韧带（ACL）重建手术，使用的是通过部分厚度采集的股四头肌腱（QT）自体移植物。虽然两名患者最初都恢复良好，但后来他们的膝关节都出现了疼痛，疼痛部位位于 QT 外侧，也就是髌骨近端。术后 4 个月和 9 个月，他们的症状分别得到缓解：结论：我们介绍了前交叉韧带重建术中部分厚度QT切除的罕见并发症--QT断裂。在这两个病例中，通过手术完成部分厚度缺损的嵌合解决了折叠感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.