Colombet Philippe, Graveleau Nicolas
Clinique du Sport Bordeaux-Mérignac, Mérignac, France.
Arthrosc Tech. 2016 Feb 8;5(1):e139-42. doi: 10.1016/j.eats.2015.10.011. eCollection 2016 Feb.
Hamstring tendon harvest, especially semitendinosus harvest, has been widely used in anterior cruciate ligament reconstruction for many years. However, donor site morbidity has been described regarding the infrapatellar branch of the saphenous nerve. Minimally invasive anterior semitendinosus harvest is a simple, safe, reproducible, and elegant technique. A 2-cm vertical incision above the pes anserinus is performed 2 cm medial to the tibial anterior tubercle. The fascia superficialis is opened with a horizontal incision, and the gracilis is isolated using a retractor. The semitendinosus is grabbed with a probe, and the vincula are hooked one by one. The tendon is harvested with a closed stripper. The expansions are cut, and the tendon is detached from the bone with part of the periosteum.
多年来，腘绳肌腱取材，尤其是半腱肌取材，已广泛应用于前交叉韧带重建。然而，关于隐神经髌下支，已有供区并发症的报道。微创半腱肌前侧取材是一种简单、安全、可重复且精妙的技术。在胫骨前结节内侧2 cm处的鹅足上方做一个2 cm的垂直切口。用水平切口打开浅筋膜，使用牵开器分离股薄肌。用探针抓住半腱肌，逐一钩住腱纽。用闭合剥离子取材肌腱。切断肌扩张部，将肌腱与部分骨膜一起从骨上分离下来。
