Hapa Onur, Barber F Alan
Plano Orthopedic Sports Medicine and Spine Center, Plano, TX, USA.
Sports Med Arthrosc Rev. 2009 Dec;17(4):217-23. doi: 10.1097/JSA.0b013e3181bf668c.
Secure graft fixation for anterior cruciate ligament reconstruction is an important goal. Optimally, graft fixation allows for an aggressive postoperative rehabilitation program with the goals of immediate full range of motion, full weight bearing, and an early return to athletic activity. Current anterior cruciate ligament reconstruction techniques advance soft tissue grafts with or without bone plugs into the joint to replace the damaged ligament. Segments of these grafts are fixed within a bone tunnel or on the periosteum at a distance from the normal ligament attachment site. The graft fixation should be secure, allow normal tendon healing, and provide the graft construct with biomechanical properties, which approach that of the native ligament. Several different fixation devices are available for anterior cruciate ligament construction.
前交叉韧带重建术中移植物的牢固固定是一个重要目标。理想情况下，移植物固定能够支持积极的术后康复计划，目标是立即实现全范围活动、完全负重并早日恢复运动。当前的前交叉韧带重建技术将带或不带骨栓的软组织移植物推进关节内以替代受损韧带。这些移植物的节段固定在骨隧道内或距正常韧带附着点一定距离的骨膜上。移植物固定应牢固，允许肌腱正常愈合，并为移植物结构提供接近天然韧带的生物力学特性。有几种不同的固定装置可用于前交叉韧带重建。
