Ra Ho Jong, Ha Jeong Ku, Kim Jin Goo
Orthopedics. 2013 Nov;36(11):860-3. doi: 10.3928/01477447-20131021-07.
Revision anterior cruciate ligament reconstruction can be performed in a 1- or 2-stage procedure. Restoration of bone stock using bone grafting is often required for good results. The authors performed 1-stage revision surgery with a more lateral and oblique femoral tunnel and an impacted bone graft to avoid the bone defect caused by the previous screw removal from a malpositioned tunnel. No evidence existed of revision surgery failure or viral transmission in any of 17 cases at 2-year follow-up. The authors' technique is also useful for a slightly misplaced femoral tunnel.
前交叉韧带重建翻修术可采用一期或二期手术进行。为获得良好效果，通常需要使用骨移植来恢复骨量。作者采用一期翻修手术，通过更偏外侧和倾斜的股骨隧道以及嵌入骨移植来避免因先前从位置不当的隧道取出螺钉而导致的骨缺损。在2年的随访中，17例患者均未出现翻修手术失败或病毒传播的迹象。作者的技术对于股骨隧道轻度移位的情况也很有用。
