Kim Sung-Jae, Jung Kwang-Am, Song Dae-Heup
Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seodaemun-Ku, Seoul, Korea.
Arthroscopy. 2006 Jul;22(7):797.e1-5. doi: 10.1016/j.arthro.2005.09.027.
Recently, the interest in anatomic anterior cruciate ligament (ACL) reconstruction with double-bundle technique has increased so as to reproduce the original load distribution and kinematics of the knee. We developed an arthroscopic double-bundle ACL reconstruction technique using autogenous quadriceps tendon with 2 split grafts and a patellar bone plug. The anteromedial bundle and posterolateral bundle of the ACL are replicated with each split graft of quadriceps tendon and fixed with biodegradable interference screws on the 2 femoral tunnels. The patellar bone plug of the quadriceps tendon is fixed with a biodegradable interference screw within the 1 tibial tunnel. We suggest that our technique using quadriceps tendon may be an alternative in arthroscopic double-bundle ACL reconstruction.
近来，采用双束技术进行解剖学前交叉韧带（ACL）重建以重现膝关节原始负荷分布及运动学的兴趣日益增加。我们研发了一种关节镜下双束ACL重建技术，使用自体股四头肌肌腱并带有2个劈开移植物和1个髌骨骨栓。ACL的前内侧束和后外侧束分别用股四头肌肌腱的劈开移植物进行复制，并通过可生物降解的挤压螺钉固定于2个股骨隧道。股四头肌肌腱的髌骨骨栓通过可生物降解的挤压螺钉固定于1个胫骨隧道内。我们认为，我们使用股四头肌肌腱的技术可能是关节镜下双束ACL重建的一种替代方法。
