Cain E Lyle, Gillogly Scott D, Andrews James R
American Sports Medicine Institute, Birmingham, Alabama, USA.
Instr Course Lect. 2003;52:359-67.
With the increasing number of anterior cruciate ligament (ACL) reconstructions being performed each year in the United States, sound surgical technique and preoperative planning are essential to decrease complications. Most intraoperative complications associated with ACL surgery are preventable with adequate planning and a reproducible surgical technique. When an autogenous bone-patellar tendon-bone graft is used for ACL reconstruction, pitfalls may occur at each step during the surgical procedure--preoperative assessment, graft harvest, notch preparation, tunnel preparation, graft passage and fixation, and rehabilitation. An array of options should be available for fixation of a patellar tendon graft, as well as alternative graft sources and graft preparation techniques.
在美国，每年进行的前交叉韧带（ACL）重建手术数量不断增加，完善的手术技术和术前规划对于减少并发症至关重要。通过充分的规划和可重复的手术技术，大多数与ACL手术相关的术中并发症是可以预防的。当使用自体骨-髌腱-骨移植物进行ACL重建时，在手术过程的每个步骤——术前评估、移植物获取、髁间窝准备、隧道准备、移植物植入和固定以及康复过程中，都可能出现问题。对于髌腱移植物的固定，以及替代移植物来源和移植物制备技术，应该有一系列的选择。
