Wagih Ahmad M
Department of Orthopaedic Surgery, National Institute of Musculoskeletal System, Cairo, Egypt.
Arthrosc Tech. 2013 Dec 19;3(1):e49-56. doi: 10.1016/j.eats.2013.08.008. eCollection 2014 Feb.
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.
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。
