Boutsiadis Achilleas, Brossard Paul, Panisset Jean-Claude, Graveleau Nicolas, Barth Johannes
Department of Orthopaedic Surgery, Centre Osteoarticulaire des Cèdres, Grenoble, France.
Department of Orthopaedic Surgery and Sports Medicine, Clinique du Sport Bordeaux-Mérignac, Mérignac, France.
Arthrosc Tech. 2017 Apr 10;6(2):e419-e425. doi: 10.1016/j.eats.2016.10.019. eCollection 2017 Apr.
Despite the numerous techniques described regarding isolated anterior cruciate ligament (ACL) reconstruction, many authors have reported that residual knee rotational instability is not always eliminated. The combination of lateral extra-articular knee tenodesis and ACL reconstruction is an alternative surgical approach with very promising clinical results. The purpose of this article is to describe a reliable and reproducible technique of combined ACL reconstruction and lateral extra-articular knee tenodesis using a continuous looped hamstring tendon autograft. A 4-strand graft inside the joint and a 2-strand graft for the tenodesis are attached to 2 adjustable-loop button suspensory fixation devices.
尽管已经描述了许多关于孤立性前交叉韧带（ACL）重建的技术，但许多作者报告称，膝关节的残余旋转不稳定并非总能消除。外侧关节外膝关节腱固定术与ACL重建相结合是一种替代手术方法，临床效果非常可观。本文的目的是描述一种可靠且可重复的技术，即使用连续环行自体腘绳肌腱进行ACL重建与外侧关节外膝关节腱固定术的联合手术。关节内的四股移植物和用于腱固定术的两股移植物分别连接到两个可调环纽扣悬吊固定装置上。
