全关节镜下前交叉韧带重建：与标准前交叉韧带重建技术相比如何？
All-inside ACL reconstruction: How does it compare to standard ACL reconstruction techniques?
作者信息
Connaughton Alexander J, Geeslin Andrew G, Uggen Christopher W
机构信息
Department of Orthopaedic Surgery at Western Michigan University Homer Stryker M.D. School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008, United States.
Department of Orthopaedic Surgery at Western Michigan University Homer Stryker M.D. School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008, United States; Borgess Orthopedics, 2490 South 11th Street, Kalamazoo, MI 49009, United States.
出版信息
J Orthop. 2017 Mar 19;14(2):241-246. doi: 10.1016/j.jor.2017.03.002. eCollection 2017 Jun.
Abstract
The all-inside ACL reconstruction technique is a relatively new development in ACL surgery. Some features of this technique include closed-socket tunnels, dual suspensory graft fixation, decreased bone removal, and smaller skin incisions. The purpose of this review was to compare the unique features of the all-inside ACL versus standard ACL techniques using biomechanical and clinical studies. The all-inside ACL appears to have similar overall results on subjective and objective outcomes studies compared to standard ACL techniques and may be associated with decreased post-operative pain. There is also a concern for a higher graft failure rate with the all-inside ACL.
摘要
全内置前交叉韧带重建技术是前交叉韧带手术中一项相对较新的进展。该技术的一些特点包括闭合套接隧道、双悬吊移植物固定、减少骨质去除以及较小的皮肤切口。本综述的目的是通过生物力学和临床研究比较全内置前交叉韧带与标准前交叉韧带技术的独特特征。与标准前交叉韧带技术相比，全内置前交叉韧带在主观和客观结果研究中似乎具有相似的总体结果，并且可能与术后疼痛减轻有关。人们还担心全内置前交叉韧带的移植物失败率较高。
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本文引用的文献
1
Clinical and Functional Outcome of All-Inside Anterior Cruciate Ligament Reconstruction at a Minimum of 2 Years' Follow-up.
Arthroscopy. 2016 Feb;32(2):332-7. doi: 10.1016/j.arthro.2015.08.014. Epub 2015 Oct 23.
2
Does adjustable-loop femoral cortical suspension loosen after anterior cruciate ligament reconstruction? A retrospective comparative study.
Knee. 2015 Sep;22(4):304-8. doi: 10.1016/j.knee.2015.04.016. Epub 2015 May 19.
3
Cortical Suspensory Button Versus Aperture Interference Screw Fixation for Knee Anterior Cruciate Ligament Soft-Tissue Allograft: A Prospective, Randomized Controlled Trial.
Arthroscopy. 2015 Sep;31(9):1733-9. doi: 10.1016/j.arthro.2015.03.006. Epub 2015 Apr 22.
4
Biomechanical comparison of 2 anterior cruciate ligament graft preparation techniques for tibial fixation: adjustable-length loop cortical button or interference screw.
Am J Sports Med. 2015 Jun;43(6):1380-5. doi: 10.1177/0363546515574062. Epub 2015 Mar 12.
5
Quantification of tibial bone loss in antegrade versus retrograde tunnel placement for anterior cruciate ligament reconstruction.
Int Orthop. 2015 Aug;39(8):1611-4. doi: 10.1007/s00264-015-2668-z. Epub 2015 Jan 27.
6
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J Knee Surg. 2015 Dec;28(6):506-12. doi: 10.1055/s-0034-1394167. Epub 2014 Oct 27.
7
A biomechanical comparison of femoral cortical suspension devices for soft tissue anterior cruciate ligament reconstruction under high loads.
Am J Sports Med. 2015 Jan;43(1):154-60. doi: 10.1177/0363546514553779. Epub 2014 Oct 17.
8
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Am J Sports Med. 2014 Dec;42(12):2933-40. doi: 10.1177/0363546514552994. Epub 2014 Oct 16.
9
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J Knee Surg. 2014 Oct;27(5):347-52. doi: 10.1055/s-0034-1381960. Epub 2014 Jun 21.
10
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