采用原位腘绳肌移植物经4个隧道进行解剖双束前交叉韧带重建术。
Anatomic double-bundle anterior cruciate ligament reconstruction using in situ hamstring graft with 4 tunnels.
作者信息
Wagih Ahmad M
机构信息
Department of Orthopaedic Surgery, National Institute of Musculoskeletal System, Cairo, Egypt.
出版信息
Arthrosc Tech. 2013 Dec 19;3(1):e49-56. doi: 10.1016/j.eats.2013.08.008. eCollection 2014 Feb.
Abstract
A careful review of the literature suggests that a significant number of patients undergoing anterior cruciate ligament (ACL) reconstruction have less-than-optimal results. Although overall outcomes of ACL reconstruction are favorable, there remains considerable room for improvement. Anatomically, the ACL consists of 2 major functional bundles, the anteromedial bundle and the posterolateral bundle. Biomechanically, both bundles contribute significantly to the anterior and rotational stability of the knee. Therefore anatomic double-bundle ACL reconstruction techniques may further improve the outcomes in ACL surgery. This article presents a technique for arthroscopic double-bundle ACL reconstruction that includes the use of 2 femoral and 2 tibial tunnels to restore both the anteromedial and posterolateral bundles of the ACL with minimal hardware for fixation.
摘要
对文献的仔细回顾表明，相当数量接受前交叉韧带（ACL）重建的患者结果并不理想。尽管ACL重建的总体结果是良好的，但仍有很大的改进空间。从解剖学上讲，ACL由两个主要功能束组成，即前内侧束和后外侧束。从生物力学角度来看，这两个束对膝关节的前向和旋转稳定性都有重要贡献。因此，解剖学双束ACL重建技术可能会进一步改善ACL手术的结果。本文介绍了一种关节镜下双束ACL重建技术，该技术包括使用两个股骨隧道和两个胫骨隧道，以最少的固定硬件恢复ACL的前内侧束和后外侧束。
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Arthroscopy. 2013 Feb;29(2):357-65. doi: 10.1016/j.arthro.2012.08.024.
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Effect of posterolateral bundle graft fixation angles on graft tension curves and load sharing in double-bundle anterior cruciate ligament reconstruction using a transtibial drilling technique.经胫骨隧道技术行双束前交叉韧带重建术中后外侧束固定角度对移植物张力曲线和分担负荷的影响。
Arthroscopy. 2013 Mar;29(3):529-38. doi: 10.1016/j.arthro.2012.10.018. Epub 2013 Jan 20.
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Anatomic double-bundle anterior cruciate ligament reconstruction: kinematics and knee flexion angle-graft tension relation.解剖双束前交叉韧带重建：运动学和膝关节弯曲角度-移植物张力关系。
Arthroscopy. 2010 Feb;26(2):202-13. doi: 10.1016/j.arthro.2009.07.014. Epub 2010 Jan 12.
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Am J Sports Med. 2008 Jun;36(6):1094-100. doi: 10.1177/0363546508317412. Epub 2008 May 9.
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