Trinchese Giovanni Felice, Oliva Francesco, Maffulli Nicola
Department of Orthopaedics and Traumatology, "San Francesco d'Assisi" Hospital, Oliveto Citra (SA), Italy.
Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Rome, Italy.
Muscles Ligaments Tendons J. 2017 Sep 18;7(2):240-246. doi: 10.11138/mltj/2017.7.2.240. eCollection 2017 Apr-Jun.
There has been much interest in understanding the anatomy and biomechanics of the anterolateral ligament (ALL). Several recon struction procedures have been proposed to correct rotatory instability after Anterior Cruciate Ligament (ACL) and anterolateral soft tissues injuries.
We propose a new anatomic minimally invasive ALL reconstruction using the ipsilateral gracilis tendon. Through small skin incisions, the femoral attachment and the tibial insertion of the ALL can be identified, and half tunnels drilled. Then, the neo-ligament can be passed under the fascia lata into the tunnels. Fixation to the tibia is accomplished with a biotenodesis screw, and to the femur with a TightRope RT (Arthrex).
This procedure allows to reconstruct in a minimally invasive fashion the ALL in selected patients with chronic anterolateral instability in ACL deficient knees.
V.
人们对理解前外侧韧带（ALL）的解剖结构和生物力学有着浓厚兴趣。已经提出了几种重建手术来纠正前交叉韧带（ACL）和前外侧软组织损伤后的旋转不稳定。
我们提出一种使用同侧股薄肌腱进行新型解剖微创ALL重建的方法。通过小的皮肤切口，可以识别ALL的股骨附着点和胫骨止点，并钻出半隧道。然后，新韧带可以经阔筋膜下穿过进入隧道。用生物可吸收螺钉固定于胫骨，用TightRope RT（Arthrex）固定于股骨。
该手术能够以微创方式为ACL缺失且存在慢性前外侧不稳定的特定患者重建ALL。
V级。
