Rose Michael, Crawford Dennis
Department of Orthopaedic Surgery and Rehabilitation, Oregon Health and Science University, Portland, Oregon, U.S.A.
Arthrosc Tech. 2017 Jan 23;6(1):e87-e92. doi: 10.1016/j.eats.2016.09.006. eCollection 2017 Feb.
Advances in surgical technique and our knowledge of anterior cruciate ligament (ACL) anatomy have resulted in a marked increase in options for ACL reconstruction. Currently, patient age and activity level, surgeon preference and experience, and cost are factors influencing the type of reconstruction recommended to address knee instability. We present a simplified transtibial method of ACL reconstruction using a single-bundle, doubled tibialis anterior allograft. This method uses fixation with a suspensory device on the femur and a bio-composite interference screw on the tibia. We recommend this simplified technique for primary ACL reconstruction because it minimizes total steps, thus limiting variance, maximizing efficiency, and reducing potential technical error.
手术技术的进步以及我们对前交叉韧带（ACL）解剖结构的认识，使得ACL重建的选择显著增加。目前，患者年龄和活动水平、外科医生的偏好和经验以及成本都是影响推荐用于解决膝关节不稳定的重建类型的因素。我们介绍一种使用单束、双股自体胫骨前肌移植的简化经胫骨ACL重建方法。该方法在股骨上使用悬吊装置固定，在胫骨上使用生物复合材料挤压螺钉固定。我们推荐这种简化技术用于初次ACL重建，因为它将总步骤减至最少，从而限制了差异，提高了效率，并减少了潜在的技术误差。
