Garbe S
Traumatologische Abteilung mit Sektion Orthopädie, St. Elisabethen-Krankenhaus Ravensburg.
Unfallchirurg. 1991 Jul;94(7):346-50.
An intra-articular reconstruction of the anterior cruciate ligament (ACL) in chronic and acute ruptures is described, which we call doubling-back ACL substitution. The McIntosh graft is used to fix it, starting from the posterior origin of the ACL and passing to the anterior region of its insertion and through the anteromedial tibial head, returning over the top with isometric conditions. Since April 1987, this procedure has been applied in 60 patients this way, 48 of whom we saw again between April and June 1990. There are only 2 unstable joints; 46 patients have stable knees. Most of them are engaging in sport again.
本文描述了一种用于慢性和急性前交叉韧带（ACL）断裂的关节内重建方法，我们称之为折返式ACL替代术。使用麦金托什移植物进行固定，从ACL的后起点开始，穿过其插入点的前部区域并通过胫骨内侧髁，在等长条件下从上方折返。自1987年4月以来，该手术已以这种方式应用于60例患者，其中48例在1990年4月至6月间接受了复查。只有2个关节不稳定；46例患者膝关节稳定。他们中的大多数人又开始参加体育运动了。
