Caborn David N M, Selby Jeffrey B
Department of Orthopaedic Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA. :
Arthroscopy. 2002 Jan;18(1):102-5. doi: 10.1053/jars.2002.25262.
For a variety of reasons, bone-patellar tendon-bone and Achilles tendon allografts have been used more commonly in anterior cruciate ligament reconstruction. Soft-tissue allografts used mainly are the semitendinosus, gracilis, and occasionally the quadriceps tendons. The anterior tibialis tendon is a thick, strong tendon that can be prepared with one doubling of the graft, has a large cross-sectional area, and has been shown to be stronger than semitendinosus, gracilis, patellar tendon, and native anterior cruciate ligament. Use of allograft shortens surgical time, eliminates graft harvest-site morbidity, and allows for a large supply of grafts for repeat or multiple ligament procedures. This graft can be fixed to the femoral and tibial bone tunnels with bioabsorbable interference screws for a hardware-free, completely endoscopic procedure. Two- to 4-year results of allograft procedures are comparable to autograft procedures, and there have been no early failures with this described technique using anterior tibialis tendon.
由于多种原因，骨-髌腱-骨和跟腱同种异体移植物在膝关节前交叉韧带重建中应用更为普遍。主要使用的软组织同种异体移植物是半腱肌、股薄肌，偶尔也会使用股四头肌肌腱。胫前肌腱是一条粗大、强壮的肌腱，可将移植物折叠一次进行制备，其横截面积大，并且已证明比半腱肌、股薄肌、髌腱和天然前交叉韧带更强。使用同种异体移植物可缩短手术时间，消除移植物取腱部位的并发症，并可为再次手术或多条韧带手术提供大量移植物。这种移植物可用生物可吸收挤压螺钉固定于股骨和胫骨骨隧道，从而实现无金属植入物的完全关节镜手术。同种异体移植物手术2至4年的结果与自体移植物手术相当，并且采用所述胫前肌腱技术尚无早期失败病例。
