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引用本文的文献

1
Physeal-sparing posteromedial portal approach reduced distance between guide pin and neurovascular structures.保留骺板的经内侧后入路减少了导针与神经血管结构之间的距离。
Knee Surg Sports Traumatol Arthrosc. 2021 Mar;29(3):881-888. doi: 10.1007/s00167-020-06043-z. Epub 2020 May 13.
2
Primary Anterior Cruciate Ligament Repair With Hyaluronic Scaffold and Autogenous Bone Marrow Aspirate Augmentation in Adolescents With Open Physes.青少年开放骨骺患者使用透明质酸支架和自体骨髓抽吸物增强进行前交叉韧带一期修复
Arthrosc Tech. 2019 Dec 20;8(12):e1561-e1568. doi: 10.1016/j.eats.2019.08.016. eCollection 2019 Dec.
3
Outcome Measures After ACL Injury in Pediatric Patients: A Scoping Review.小儿患者前交叉韧带损伤后的结局指标：一项范围综述
Orthop J Sports Med. 2019 Jul 30;7(7):2325967119861803. doi: 10.1177/2325967119861803. eCollection 2019 Jul.
4
Regenerative Medicine Approaches for the Treatment of Pediatric Physeal Injuries.再生医学方法治疗儿科骺板损伤。
Tissue Eng Part B Rev. 2018 Apr;24(2):85-97. doi: 10.1089/ten.TEB.2017.0274. Epub 2017 Sep 28.

本文引用的文献

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Anterior cruciate ligament reconstruction in skeletally immature patients with transphyseal tunnels.经骺板隧道的未成年患者前交叉韧带重建术。
Arthroscopy. 2012 Nov;28(11):1710-7. doi: 10.1016/j.arthro.2012.04.145. Epub 2012 Aug 27.
2
Prospective randomized clinical evaluation of conventional single-bundle, anatomic single-bundle, and anatomic double-bundle anterior cruciate ligament reconstruction: 281 cases with 3- to 5-year follow-up.前瞻性随机临床评估传统单束、解剖单束和解剖双束前交叉韧带重建：3 至 5 年随访的 281 例病例。
Am J Sports Med. 2012 Mar;40(3):512-20. doi: 10.1177/0363546511426416. Epub 2011 Nov 15.
3
All-epiphyseal anterior cruciate ligament reconstruction in skeletally immature patients.全骺板前交叉韧带重建术治疗骨骼未成熟患者。
Clin Orthop Relat Res. 2010 Jul;468(7):1971-7. doi: 10.1007/s11999-010-1255-2. Epub 2010 Feb 20.
4
Physeal sparing reconstruction of the anterior cruciate ligament in skeletally immature prepubescent children and adolescents.骨骼未成熟的青春期前儿童和青少年前交叉韧带的保留骺板重建术。
J Bone Joint Surg Am. 2005 Nov;87(11):2371-9. doi: 10.2106/JBJS.D.02802.
5
Knee stability and graft function after anterior cruciate ligament reconstruction: a comparison of a lateral and an anatomical femoral tunnel placement.前交叉韧带重建术后的膝关节稳定性及移植物功能：外侧与解剖学股骨隧道置入的比较
Am J Sports Med. 2004 Dec;32(8):1825-32. doi: 10.1177/0363546504263947.
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Transepiphyseal replacement of the anterior cruciate ligament using quadruple hamstring grafts in skeletally immature patients.在骨骼未成熟患者中使用四股腘绳肌移植物进行前交叉韧带的经骨骺置换。
J Bone Joint Surg Am. 2004 Sep;86-A Suppl 1(Pt 2):201-9. doi: 10.2106/00004623-200409001-00010.
7
Physeal-sparing intraarticular anterior cruciate ligament reconstruction in preadolescents.青春期前儿童保留骺板的关节内前交叉韧带重建术
Am J Sports Med. 2003 Nov-Dec;31(6):949-53. doi: 10.1177/03635465030310063401.
8
Knee stability and graft function following anterior cruciate ligament reconstruction: Comparison between 11 o'clock and 10 o'clock femoral tunnel placement. 2002 Richard O'Connor Award paper.前交叉韧带重建术后的膝关节稳定性及移植物功能：11点与10点股骨隧道定位的比较。2002年理查德·奥康纳奖论文。
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9
Management and complications of anterior cruciate ligament injuries in skeletally immature patients: survey of the Herodicus Society and The ACL Study Group.骨骼未成熟患者前交叉韧带损伤的管理与并发症：希罗狄库斯学会和前交叉韧带研究组的调查
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10
The relationship of the femoral origin of the anterior cruciate ligament and the distal femoral physeal plate in the skeletally immature knee. An anatomic study.骨骼未成熟膝关节中前交叉韧带股骨起点与股骨远端骨骺板的关系：一项解剖学研究。
Am J Sports Med. 2001 Nov-Dec;29(6):781-7. doi: 10.1177/03635465010290061801.

使用后内侧入路在儿童前交叉韧带重建中进行股骨隧道钻孔的保留骨骺技术

Physeal-sparing technique for femoral tunnel drilling in pediatric anterior cruciate ligament reconstruction using a posteromedial portal.

作者信息

Lemos Stephen E, Keating Patrick M, Scott Timothy P, Siwiec Ryan M

机构信息

Detroit Medical Center (DMC) Sports Medicine, Detroit Medical Center, Detroit, Michigan, U.S.A. ; DMC Detroit Sports Medicine Fellowship Program, Detroit, Michigan, U.S.A.

Detroit Medical Center (DMC) Sports Medicine, Detroit Medical Center, Detroit, Michigan, U.S.A.

出版信息

Arthrosc Tech. 2013 Nov 15;2(4):e483-90. doi: 10.1016/j.eats.2013.07.007. eCollection 2013 Nov.

DOI:10.1016/j.eats.2013.07.007
PMID:24892013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4040012/
Abstract

Pediatric anterior cruciate ligament (ACL) tears present a technical dilemma for orthopaedic surgeons. Multiple surgical techniques have been described to protect the distal femoral and proximal tibial physes. We present an ACL reconstruction technique performed on a 12-year-old girl with open physes who sustained an ACL tear after a noncontact twisting injury while playing soccer. A hamstring autograft reconstruction was performed by use of a posteromedial portal to drill the femoral tunnel in an all-epiphyseal fashion at the anatomic footprint of the native ACL. This case provides a new surgical technique to achieve anatomic fixation for ACL reconstruction in a skeletally immature individual using a posteromedial portal to drill a physeal-sparing lateral femoral tunnel for anatomic ACL reconstruction. This advancement may make drilling the femoral tunnel less technically challenging compared with other proposed methods while maintaining the lateral wall of the distal femur.

摘要

小儿前交叉韧带（ACL）撕裂给骨科医生带来了技术难题。已有多种手术技术被描述用于保护股骨远端和胫骨近端的生长板。我们介绍了一种对一名12岁女孩实施的ACL重建技术，该女孩生长板开放，在踢足球时非接触性扭转受伤后发生了ACL撕裂。采用自体腘绳肌腱移植进行重建，通过后内侧入路以全骨骺方式在原ACL的解剖足迹处钻出股骨隧道。该病例提供了一种新的手术技术，即使用后内侧入路为骨骼未成熟个体进行解剖学ACL重建，钻出一个保留生长板的外侧股骨隧道以实现解剖固定。与其他提出的方法相比，这一进展可能使钻出股骨隧道在技术上的挑战性降低，同时保留股骨远端的外侧壁。