Todor Adrian, Caterev Sergiu, Nistor Dan Viorel, Khallouki Youssef
"Iuliu Hatieganu" University of Medicine and Pharmacy, "Alexandru Radulescu" Orthopaedic and Traumatology Clinic, Cluj-Napoca, Romania.
Arthrosc Tech. 2016 May 30;5(3):e541-4. doi: 10.1016/j.eats.2016.02.001. eCollection 2016 Jun.
The most commonly used autografts for anterior cruciate ligament reconstruction are the bone-patellar tendon-bone and hamstring tendons. Each has its advantages and limitations. The bone-patellar tendon-bone autograft can lead to more donor-site morbidity, and the hamstring autograft can be unpredictable in size. The quadriceps tendon, with or without a bone block, has been described as an alternative graft source and has been used especially in revision cases, but in recent years, it has attracted attention even for primary cases. We report a technique for harvesting a free bone quadriceps tendon graft and attaching an extracortical button for femoral fixation for anterior cruciate ligament reconstruction.
用于前交叉韧带重建最常用的自体移植物是骨-髌腱-骨和腘绳肌腱。每种都有其优点和局限性。骨-髌腱-骨自体移植物会导致更多供区并发症,而腘绳肌自体移植物的大小可能难以预测。股四头肌腱,带或不带骨块,已被描述为一种替代移植物来源,尤其用于翻修病例,但近年来,它甚至在初次手术病例中也受到了关注。我们报告一种获取游离骨股四头肌腱移植物并附加一个皮质外纽扣进行股骨固定以用于前交叉韧带重建的技术。