Iliotibial band irritation caused by the EndoButton after anatomic double-bundle anterior cruciate ligament reconstruction: Report of two cases
Iliotibial band irritation caused by the EndoButton after anatomic double-bundle anterior cruciate ligament reconstruction: Report of two cases
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DOI：
10.1016/j.knee.2013.03.013
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发表时间：
2013-08-01
期刊：
影响因子：
1.9
通讯作者：
Nakagawa, Takumi
中科院分区：
文献类型：
--
作者：
Taketomi, Shuji;Inui, Hiroshi;Nakagawa, Takumi
2名患者接受了关节镜下解剖双束前交叉韧带（ACL）重建术，使用EndoButton进行股骨固定。通过远前内侧入路，采用由内向外技术建立股骨隧道。患者术后出现中度膝关节外侧疼痛，无不稳定。在第二次关节镜检查评价时，取出了2枚EndoCast。两名患者在植入物取出后几个月完全无症状，这意味着Endofilm引起了髂胫束的机械刺激。这是第一份报告，描述了由于髂胫束摩擦引起的疼痛而取出Endofilm。在解剖型ACL重建中，如果股骨隧道出口位于股骨外上髁附近，则应注意防止EndoButton可能导致的髂胫束摩擦综合征。(C)2013爱思唯尔有限公司版权所有。
Two patients underwent arthroscopic anatomic double-bundle anterior cruciate ligament (ACL) reconstruction using the EndoButton for femoral fixation. The femoral tunnels were created by the inside-out technique through a far anteromedial portal. The patients postoperatively developed moderate lateral knee pain without instability. At the second-look arthroscopic evaluation, the two EndoButtons were removed. Both patients were completely asymptomatic several months after implant removal, implying that the EndoButtons caused the mechanical irritation in the iliotibial band. This is the first report describing removal of EndoButtons because of pain caused by friction with the iliotibial band. In anatomic ACL reconstruction, if the femoral tunnel exit is positioned near the lateral femoral epicondyle, care should be taken to prevent iliotibial band friction syndrome that could result because of the EndoButton. (C) 2013 Elsevier B.V. All rights reserved.