骨科手术机器人辅助重建急性后交叉韧带断裂1例
Zhongguo gu shang = China journal of orthopaedics and traumatology(2020)
Abstract
患者,男,63岁,因“外伤致左膝肿痛伴活动受限2d”入院.患者2d前骑车摔伤致左膝部剧烈锐痛,持续不缓解,肿胀明显,活动后加重,休息未见明显缓解,能行走,但是跛行明显,就诊我院,行MRI示左膝后交叉韧带撕裂,左膝内侧副韧带撕裂(图1a).诊断为左膝后交叉韧带(posterior craciate ligament,PCL)撕裂,左膝内侧副韧带撕裂.查体:左膝略肿,轻度压痛,屈膝略受限,麦氏征弱阳性,研磨试验阴性,过伸过屈试验阴性,浮髌试验阳性,外翻应力试验(伸膝位阳性,屈膝30°位弱阳性),前抽屉试验阴性,后抽屉试验阳性,Lachman征阴性.实验室检查:超敏C-反应蛋白17.16 mg/L,白细胞计数5.90×109/L,红细胞计数4.40× 1012/L,血红蛋白141 g/L,白蛋白38.8 g/L,凝血酶原时间13.2 s,凝血酶原时间正常对照12.8 s,尿常规及肝肾功未见明显异常.
MoreKey words
Case report,Posterior cruciate ligament reconstruction,Robotic surgical procedures
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