Abstract:
A 24-year-old competitive rower suffered a severe road injury to the medial aspect of his knee. He was referred to us for a partial joint transplantation consisting of a medial tibiofemoral fresh osteochondral allograft (FOCA), medial collateral ligament, meniscal allograft, and osteotomy. Two years after reconstruction, the patient won a bronze medal in the Summer Paralympics. At the 6-year follow-up, he demonstrates excellent clinical and radiographic outcomes and high satisfaction.
For extensive knee injuries with large, complex defects, FOCA with concomitant meniscal allograft transplantation, ligamentous allograft, and osteotomy may be considered in high-demand athletes who wish to return to play.
摘要:
一名24岁的竞技赛艇运动员膝盖内侧严重受伤。他被推荐给我们进行部分关节移植,包括内侧胫骨股新鲜同种异体骨软骨移植(FOCA),内侧副韧带,半月板同种异体移植,和截骨术.重建两年后,该患者在夏季残奥会上获得铜牌。在6年的随访中,他表现出优异的临床和影像学结果以及很高的满意度.
对于大面积的膝关节损伤,复杂的缺陷,FOCA伴随半月板同种异体移植,同种异体韧带移植,希望重返赛场的高需求运动员可以考虑截骨术。