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关节镜下使用腘绳肌腱移植物进行前交叉韧带双束重建——用两枚挤压螺钉固定:技术说明

Arthroscopic anterior cruciate ligament double-bundle reconstruction using hamstring tendon grafts-fixation with two interference screws: technical note.

作者信息

Carneiro Mario, Navarro Ricardo Dizioli, Nakama Gilberto Yoshinobu, Barretto João Mauricio, de Queiroz Antonio Altenor Bessa, Luzo Marcus Vinicius Malheiro

机构信息

Department of Orthopedics and Traumatology, São Paulo Federal University, Paulista School of Medicine, São Paulo, Brazil.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2009 Mar;17(3):321-3. doi: 10.1007/s00167-008-0627-6. Epub 2008 Oct 7.

DOI:10.1007/s00167-008-0627-6
PMID:18839147
Abstract

In this article, an original double-bundle anterior cruciate ligament reconstruction technique is described. The procedure is developed using hamstring tendon grafts while maintaining tibial osseous insertion. Two tibial tunnels are drilled and a simplified and precise outside-in double tunnel femoral drilling technique is utilized. The graft fixation is made using only two interference screws.

摘要

在本文中,描述了一种原创的双束前交叉韧带重建技术。该手术采用腘绳肌腱移植物进行,同时保留胫骨骨附着点。钻两个胫骨隧道,并采用一种简化且精确的由外向内双隧道股骨钻孔技术。移植物仅使用两枚挤压螺钉进行固定。

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引用本文的文献

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Mechanical evaluation of tibial fixation of the hamstring tendon in anterior cruciate ligament double-bundle reconstruction with and without interference screws.带或不带干扰螺钉的前交叉韧带双束重建中腘绳肌腱胫骨固定的力学评估。
Clinics (Sao Paulo). 2020 Apr 30;75:e1123. doi: 10.6061/clinics/2020/e1123. eCollection 2020.
2
Anatomic double-bundle anterior cruciate ligament reconstruction leaving hamstrings tibial insertion intact: technical note.保留腘绳肌胫骨止点的解剖双束前交叉韧带重建术:技术说明
Musculoskelet Surg. 2013 Apr;97(1):39-43. doi: 10.1007/s12306-012-0230-3. Epub 2012 Dec 12.
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Hamstring graft sizes differ between Chinese and Caucasians.

本文引用的文献

1
Anatomic double bundle ACL reconstruction: a literature review.解剖双束前交叉韧带重建:文献综述
Knee Surg Sports Traumatol Arthrosc. 2007 Aug;15(8):946-64; discussion 945. doi: 10.1007/s00167-007-0343-7. Epub 2007 May 30.
2
Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts.使用腘绳肌腱移植物对前交叉韧带的前内侧束和后外侧束进行解剖重建。
Arthroscopy. 2004 Dec;20(10):1015-25. doi: 10.1016/j.arthro.2004.08.010.
3
Double-bundle anatomic anterior cruciate ligament reconstruction using bone-hamstring-bone composite graft.
国人与高加索人群腘绳肌腱移植物大小存在差异。
Knee Surg Sports Traumatol Arthrosc. 2012 May;20(5):916-21. doi: 10.1007/s00167-011-1653-3. Epub 2011 Aug 25.
采用骨-腘绳肌腱-骨复合移植物的双束解剖学前交叉韧带重建术
Arthroscopy. 2002 May-Jun;18(5):550-5. doi: 10.1053/jars.2002.30680.
4
Arthroscopic anterior cruciate ligament reconstruction using patellar tendon autografts: a comprehensive review of contemporary literature.
Am J Knee Surg. 2001 Fall;14(4):243-58.
5
Single- versus bi-socket anterior cruciate ligament reconstruction using autogenous multiple-stranded hamstring tendons with endoButton femoral fixation: A prospective study.采用带EndoButton股骨固定的自体多股绳肌腱进行单隧道与双隧道前交叉韧带重建的前瞻性研究。
Arthroscopy. 2001 Oct;17(8):801-7. doi: 10.1016/s0749-8063(01)90002-7.
6
Two-bundle reconstruction of the anterior cruciate ligament using semitendinosus tendon with endobuttons: operative technique and preliminary results.使用带纽扣钢板的半腱肌肌腱进行前交叉韧带双束重建:手术技术及初步结果
Arthroscopy. 1999 Sep;15(6):618-24. doi: 10.1053/ar.1999.v15.0150611.
7
Reconstruction of the anterior cruciate ligament of the knee using a doubled tendon graft.使用双股肌腱移植物重建膝关节前交叉韧带。
Clin Orthop Relat Res. 1987 Jul(220):162-75.