双切口（由外向内）前交叉韧带重建的适应症。

Indications for Two-Incision (Outside-In) Anterior Cruciate Ligament Reconstruction.

作者信息

Branam Barton R, Utz Christopher J

机构信息

Division of Sports Medicine, Department of Orthopaedic Surgery, College of Medicine, University of Cincinnati, 1103 Holmes Hospital, Mail Loc-0212, Cincinnati, OH 45267, USA.

出版信息

Clin Sports Med. 2017 Jan;36(1):71-86. doi: 10.1016/j.csm.2016.08.004. Epub 2016 Oct 5.

DOI:10.1016/j.csm.2016.08.004

PMID:27871662

Abstract

Anterior cruciate ligament (ACL) reconstruction is a commonly performed procedure. Drilling the femoral tunnel independent of the tibial tunnel has become popular as surgeons strive to create tunnels in the anatomic locations of the femoral and tibial attachments of the native ligament. The 2-incision technique effectively and reproducibly accomplishes this goal. The 2-incision technique for ACL reconstruction is a valuable tool in the skillset of the reconstructive knee surgeon. Indications for the 2-incision surgery are reviewed in detail. Furthermore, technical tips, complications, and outcomes are discussed.

摘要

前交叉韧带（ACL）重建是一种常见的手术。独立于胫骨隧道钻取股骨隧道已变得流行，因为外科医生努力在天然韧带的股骨和胫骨附着点的解剖位置创建隧道。双切口技术有效地且可重复地实现了这一目标。双切口ACL重建技术是重建膝关节外科医生技能组合中的一项宝贵工具。本文详细回顾了双切口手术的适应症。此外，还讨论了技术要点、并发症及手术结果。