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TLS 技术:一种使用短腘绳肌腱移植物的新型 ACL 重建方法。

The Tape Locking Screw technique (TLS): A new ACL reconstruction method using a short hamstring graft.

出版信息

Orthop Traumatol Surg Res. 2011 Sep;97(5):555-9. doi: 10.1016/j.otsr.2011.03.016. Epub 2011 Jun 8.

DOI:10.1016/j.otsr.2011.03.016
PMID:21652276
Abstract

The Tape Locking Screw (TLS(®)) system, developed in 2003, is a new anterior cruciate ligament (ACL) reconstruction method that is based on three principles: one hamstring tendon is harvested, prepared into a short (50 to 60mm), four to five strand closed loop, with a diameter of 8 to 10mm and a 500N pre-load; the tunnels are shorter than usual (10 or 15mm) and created in a retrograde manner to match the diameter of each end of the graft. Maximum press-fit into the bone recesses is obtained by a specific graft introduction method; femoral and tibial fixation is provided by polyethylene terephthalate tape strips, or TLS(®) strips, that pass through each end of the closed tendon loop and attach to bone with a dedicated interference screw, the TLS(®) screw. Our preliminary clinical evaluation consisted of a follow-up of 134 patients.

摘要

TLS(®) 系统是一种新型的前交叉韧带(ACL)重建方法,于 2003 年研发,它基于三个原则:取自一条腿的腘绳肌腱,制备成短(50 至 60 毫米)、四股至五股封闭的环形,直径为 8 至 10 毫米,预紧力为 500N;隧道比常规的短(10 或 15 毫米),并且采用逆行的方式来匹配移植物的每一端的直径。通过特定的移植物导入方法,可获得最大的压配到骨陷窝中;股骨和胫骨的固定是通过聚对苯二甲酸乙二醇酯(PET)带条,或 TLS(®) 带条来完成的,它们穿过封闭的肌腱环的每一端,并用专用的干涉螺钉(TLS(®) 螺钉)固定在骨上。我们的初步临床评估包括对 134 例患者的随访。

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Anterior cruciate ligament reconstruction with a single hamstring tendon graft and tape locking screw (TLS) fixation leads to good clinical outcome in two years of follow-up.采用单根腘绳肌腱移植和带锁螺钉(TLS)固定进行前交叉韧带重建,在两年的随访中取得了良好的临床效果。
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