机器人辅助双叉韧带保留全膝关节置换术后，前交叉韧带损伤导致股骨和胫骨组件失效

IF 1.5 Q3 ORTHOPEDICS

Arthroplasty Today Pub Date : 2024-10-11 DOI:10.1016/j.artd.2024.101523

Kosuke Shiga MD , Takao Kaneko MD, PhD , Ayakane Yamamoto MD , Kazuki Amemiya PT , Masaru Omata PT

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引用次数: 0

摘要

我们报告了一例机器人辅助双叉韧带固定全膝关节置换术后因前交叉韧带（ACL）损伤导致股骨和胫骨组件失败的病例。一名患有骨关节炎的70岁女性接受了机器人辅助双叉韧带固定全膝关节置换术。术后 8 个月，膝关节出现持续性疼痛和肿胀。我们诊断为前交叉韧带损伤后股骨和胫骨组件之间出现故障。前交叉韧带近端损伤和超高分子量聚乙烯旋出得到证实。由于股骨和胫骨组件移除后骨归属较大，我们选择了约束髁膝关节假体。术后三维计算机断层扫描图像显示，胫骨组件的过度内旋对齐对前十字韧带造成了压力。

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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Failure of the Femoral and Tibial Components Following Anterior Cruciate Ligament Injury After Robotic-Assisted Bicruciate-Retaining Total Knee Arthroplasty

We report a case of failure of the femoral and tibial components due to anterior cruciate ligament (ACL) injury after robotic-assisted bicruciate-retaining total knee arthroplasty. A 70-year-old woman with osteoarthritis underwent robotic-assisted bicruciate-retaining total knee arthroplasty. At 8 months after surgery, persistent knee pain and swelling of the knee joint were noted after fall in knee. We diagnosed a failure between the femoral and tibial components following an ACL injury. Proximal ACL injury and spin out of ultra-high molecular weight polyethylene were confirmed. We selected a constrained condylar knee prosthesis due to large bone attribution after femoral and tibial component removal. Postoperative three-dimensional computed tomography images suggested that excessive internal rotational alignment of the tibial component caused stress on the ACL.

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来源期刊

Arthroplasty Today Medicine-Surgery

CiteScore

2.90

自引率

0.00%

发文量

258

审稿时长

40 weeks

期刊介绍： Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.