Shino Konsei, Nakata Ken, Nakamura Norimasa, Toritsuka Yukiyoshi, Nakagawa Shigeto, Horibe Shuji
Faculty of Comprehensive Rehabilitation, Osaka Prefecture University, Habikino-Osaka, Japan.
Arthroscopy. 2005 Nov;21(11):1402. doi: 10.1016/j.arthro.2005.08.017.
An anterior cruciate ligament (ACL) reconstruction technique is described to place bone-patellar tendon-bone (BPTB) graft in an anatomically oriented fashion to mimic the 2 bundles of the normal ACL, based on the concept of twin tunnel ACL reconstruction, to maximize the graft-tunnel interface. In this technique, the attached bone plug is introduced into a rectangular femoral socket via a halfway rectangular tibial tunnel for the anterior portion of the graft to function as the anteromedial bundle and for its posterior portion to behave as the posterolateral bundle. A snug fitting of the graft is achieved not only at the femoral socket, but also in the tibial tunnel.
本文描述了一种前交叉韧带（ACL）重建技术，该技术基于双隧道ACL重建的概念，以解剖学定位的方式植入骨-髌腱-骨（BPTB）移植物，以模拟正常ACL的两束结构，从而最大化移植物与隧道的界面。在该技术中，将附着的骨块通过一个半矩形的胫骨隧道引入一个矩形的股骨槽内，使移植物的前部作为前内侧束发挥作用，后部作为后外侧束发挥作用。不仅在股骨槽，而且在胫骨隧道中，移植物都能实现紧密贴合。
