Park Kunbo, Brusalis Christopher M, Ganley Theodore J
Division of Orthopaedic Surgery, Haeundae Paik Hospital, Busan, Republic of Korea.
Division of Orthopaedic Surgery, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, U.S.A.
Arthrosc Tech. 2016 Sep 26;5(5):e1105-e1109. doi: 10.1016/j.eats.2016.06.001. eCollection 2016 Oct.
Growing participation in youth athletics has resulted in increased numbers of anterior cruciate ligament (ACL) injuries in skeletally immature patients. Use of autogenous graft material has been associated with improved graft survival. However, pediatric patients sometimes possess hamstring tendons that produce smaller-diameter grafts than those prepared with adult autogenous materials. Smaller-diameter grafts may predispose younger patients to graft failure. We describe a technique that increases the diameter of the ACL construct through the use of an 8-strand autologous hamstring tendon graft. The 8-strand ACL autograft is commonly used in all-inside ACL reconstruction surgery.
青少年参与体育运动的人数不断增加,导致骨骼未成熟患者的前交叉韧带(ACL)损伤数量增多。使用自体移植材料与提高移植物存活率相关。然而,儿科患者的腘绳肌腱有时产生的移植物直径比使用成人自体材料制备的移植物小。直径较小的移植物可能使年轻患者更容易发生移植物失败。我们描述了一种通过使用8股自体腘绳肌腱移植物来增加ACL重建结构直径的技术。8股ACL自体移植物常用于全关节镜下ACL重建手术。