Royalty Robert N, Junkin David M, Johnson Darren L
Department of Orthopaedic Surgery, University of Kentucky, 740 South Limestone, Suite K401 Kentucky Clinic, Lexington, KY 40536, USA.
Clin Sports Med. 2009 Apr;28(2):311-26, ix. doi: 10.1016/j.csm.2008.10.006.
Revision anterior cruciate ligament (ACL) reconstruction presents many technical considerations not seen in primary ACL reconstruction. A variety of allograft options are available for use during revision ACL reconstruction, including bone-patella tendon-bone, calcaneus-Achilles tendon, and all soft-tissue grafts. Anatomic double-bundle ACL technique improves knee kinematics and provides the rotatory stability necessary to return to ACL-dependent activities.
前交叉韧带(ACL)翻修重建存在许多初次ACL重建中未见的技术考量。在ACL翻修重建过程中有多种同种异体移植物可供使用,包括骨-髌腱-骨、跟腱-跟腱以及全软组织移植物。解剖双束ACL技术可改善膝关节运动学,并为恢复依赖ACL的活动提供必要的旋转稳定性。