Frank Rachel M, Higgins John, Bernardoni Eamon, Cvetanovich Gregory, Bush-Joseph Charles A, Verma Nikhil N, Bach Bernard R
Department of Orthopaedic Surgery, Division of Sports Medicine, Rush University Medical Center/Midwest Orthopaedics at Rush, Chicago, Illinois, U.S.A.
Arthrosc Tech. 2017 Jul 31;6(4):e1189-e1194. doi: 10.1016/j.eats.2017.04.006. eCollection 2017 Aug.
Anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft has long been considered the graft preference for young, active patients with anterior cruciate ligament injuries. The central-third of the native patellar tendon is a reliable graft and is the preferred option for competitive athletes given its excellent track record with high return-to-play rates and low failure rates. Disadvantages to using this graft include donor site morbidity and associated postoperative anterior knee pain, the risk of patellar fracture or patellar tendon tear, and the potential for graft-construct mismatch. In this Technical Note, we describe our preferred technique for bone-patellar tendon-bone autograft harvest and preparation for anterior cruciate ligament reconstruction.
长期以来，自体骨-髌腱-骨移植重建前交叉韧带一直被认为是年轻、活跃的前交叉韧带损伤患者的首选移植方式。自体髌腱的中央三分之一是一种可靠的移植物，鉴于其在高重返比赛率和低失败率方面的出色记录，是竞技运动员的首选。使用这种移植物的缺点包括供区并发症和相关的术后膝前疼痛、髌骨骨折或髌腱撕裂的风险，以及移植物与结构不匹配的可能性。在本技术说明中，我们描述了我们首选的自体骨-髌腱-骨移植获取及前交叉韧带重建准备技术。
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