Bilateral fracture of anterior tibial tuberosity with complete patellar tendon rupture in an adolescent patient.

Carla Carbonell-Rosell, Oriol Pujol, Alberto Gargallo, Kushal Lakhani, Raquel Sevil, Daniel Pacha
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Abstract

Anterior tibial tuberosity fracture avulsion is an uncommon injury. A concomitant patellar rupture is even more scarcely encountered. We report the case of a 14-year-old male patient who suffered bilateral anterior tuberosity fractures with concomitant bilateral complete patellar tendon rupture. Adolescence, athletic activity, and high BMI may have contributed to this concomitant bilateral injury. Both lesions were treated in a one-stage repair surgery, performing an open reduction and internal fixation of the tibial tuberosity with a cannulated cortical screw and a primary tendon suture following the Krakow technique. To the authors' knowledge, no other cases of bilateral presentation of both lesions have been reported so far in the literature.

一名青少年患者双侧胫骨前结节骨折并伴有髌腱完全断裂。
胫骨前结节骨折撕脱是一种不常见的损伤。同时伴有髌骨断裂的情况更是罕见。我们报告了一名 14 岁男性患者的病例,他双侧胫骨前结节骨折,同时伴有双侧髌腱完全断裂。青春期、运动量和高体重指数可能是造成这种并发双侧损伤的原因。两处损伤均采用一期修复手术进行治疗,使用插管皮质螺钉对胫骨结节进行切开复位和内固定,并按照克拉科夫技术对肌腱进行初步缝合。据作者所知,迄今为止还没有其他文献报道过双侧均有病变的病例。
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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