Buda Roberto, Ruffilli Alberto, Vannini Francesca, Parma Alessandro, Giannini Sandro
Department I of Orthopaedics and Traumatology, Rizzoli Orthopaedic Institute, Via Pupilli, 1–40134, Bologna, Italy.
Orthopedics. 2013 Jun;36(6):449-53. doi: 10.3928/01477447-20130523-04.
Many surgical techniques aimed to obtain an anatomical anterior cruciate ligament reconstruction using the hamstrings tendons are described in the literature. All of these techniques encompass the detachment of the tibial insertion of the hamstrings tendons, thus damaging the neurovascular supply of the tendons and resulting in lower residual proprioceptivity and worse ligamentization of the graft. This article describes a new technique that permits an anatomic single-bundle ACL reconstruction using distally inserted doubled hamstrings tendons fixed at the femoral level with a second-generation cortical suspensory device.
文献中描述了许多旨在使用腘绳肌腱进行解剖学前交叉韧带重建的手术技术。所有这些技术都包括腘绳肌腱胫骨止点的离断，从而破坏了肌腱的神经血管供应，导致残余本体感觉降低以及移植物的韧带化较差。本文描述了一种新技术，该技术允许使用远端插入的双股腘绳肌腱进行解剖学单束前交叉韧带重建，并在股骨水平用第二代皮质悬吊装置固定。
