Shino Konsei, Mae Tatsuo, Take Yasuhiro, Iuchi Ryo, Nakagawa Shigeto
Center for Sports Orthopaedics, Yukioka Hospital, Kita-ku, Osaka, Japan.
Department of Orthopaedic Surgery, Osaka University Medical School, Suita, Osaka, Japan.
Asia Pac J Sports Med Arthrosc Rehabil Technol. 2015 Feb 17;2(2):43-48. doi: 10.1016/j.asmart.2014.12.003. eCollection 2015 Apr.
We developed the anatomic rectangular tunnel anterior cruciate ligament reconstruction (ART ACLR) with a bone-patellar tendon-bone graft to mimic fibre arrangement inside the native ACL via tunnels with smaller apertures. With a 10-mm-wide graft, the cross-sectional area of the tunnels of 50 mm in ART ACLR is less than that of 79 mm in a 10-mm round tunnel one. Because tunnel encroachment would be less of a problem, the ART ACLR technique could be most frequently applied to patients after a failed primary ACLR. In this instructional lecture, the indication and technical considerations for ART ACLR as one-stage revision ACLR are described.
我们研发了一种解剖型矩形隧道前交叉韧带重建术（ART ACLR），采用骨-髌腱-骨移植物，通过孔径较小的隧道来模拟天然前交叉韧带内部的纤维排列。对于10毫米宽的移植物，ART ACLR中50毫米长隧道的横截面积小于10毫米圆形隧道的79平方毫米。由于隧道侵占问题较小，ART ACLR技术最常应用于初次前交叉韧带重建失败后的患者。在本次教学讲座中，将介绍ART ACLR作为一期翻修前交叉韧带重建术的适应证和技术要点。
