Mascarenhas Randy, McConkey Mark O, Forsythe Brian, Harner Christopher D
Department of Orthopaedic Surgery, University of Texas Health Sciences Center at Houston, Houston, TX.
Am J Orthop (Belle Mead NJ). 2015 Apr;44(4):E89-93.
Revision anterior cruciate ligament (ACL) reconstruction is a technically demanding procedure with outcomes that generally fail to reach those seen with primary ACL reconstruction. With most index procedures using autograft tissue, it is not uncommon for allograft tissue to be required for revision ACL reconstruction. Compared with autografts, allografts take longer to incorporate and lead to more episodes of instability. In this article, we describe ipsilateral iliotibial band tenodesis performed to augment use of bone-patellar tendon-bone allograft in revision ACL reconstruction. This technique adds rotational stability to protect the allograft tissue while it incorporates.
前交叉韧带（ACL）翻修重建是一项技术要求很高的手术，其结果通常难以达到初次ACL重建的效果。由于大多数初次手术使用自体移植组织，因此在ACL翻修重建中需要使用异体移植组织的情况并不少见。与自体移植相比，异体移植需要更长时间才能融合，并且会导致更多不稳定情况的发生。在本文中，我们描述了在ACL翻修重建中进行同侧髂胫束腱固定术，以增加骨-髌腱-骨异体移植的使用。该技术在异体移植组织融合时增加旋转稳定性以保护它。
