联合内侧及外侧半月板同种异体移植联合翻修骨-髌腱-骨前交叉韧带重建治疗双间室半月板缺损：一例报告
简介
本病例报告描述了一名22岁男性患者，因既往骨-髌腱-骨ACL重建失败及次全半月板切除术后出现双间室半月板严重缺损合并ACL功能不全，采用单次手术同期行内侧与外侧半月板同种异体移植联合翻修骨-髌腱-骨ACL重建。术后6个月膝关节稳定，关节活动度0–130°，IKDC评分92分，Lysholm评分90分，无积液或移植物相关并发症。该方案为年轻患者提供了一种保留关…
英文摘要
Symptomatic loss of meniscal tissue combined with anterior cruciate ligament (ACL) insufficiency is difficult to manage, particularly after previous failed surgery. We report a 22-year-old man with pain, recurrent effusions, and functional limitation after two prior arthroscopic procedures on the right knee, including failed bone-patellar tendon-bone (BTB) ACL reconstruction and subtotal meniscectomy. Preoperative magnetic resonance imaging and diagnostic arthroscopy demonstrated severe deficiency of both the medial and lateral menisci together with ACL insufficiency. The patient underwent single-stage combined medial and lateral meniscal allograft transplantation using fresh-frozen allografts and concomitant revision BTB ACL reconstruction. At 6 months, the knee was stable, range of motion was 0-130°, International Knee Documentation Committee score was 92, Lysholm score 90, and there were no effusions, inflammatory signs, or graft-related complications. This case illustrates a joint-preserving single-stage option for young patients with bicompartmental meniscal deficiency and ACL insufficiency.