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简化前交叉韧带移植物骨栓重建:“U”形槽技术

Simplifying Anterior Cruciate Ligament Graft Bone Plug Reconstructions: The "U" Trough Technique.

作者信息

Perez Jose R, Letter Michael, Klein Jason, Kaplan Lee D

机构信息

UHealth Sports Performance and Wellness Institute, Miller School of Medicine, University of Miami, Miami, Florida, U.S.A.

出版信息

Arthrosc Tech. 2017 Aug 7;6(4):e1271-e1274. doi: 10.1016/j.eats.2017.05.003. eCollection 2017 Aug.

DOI:10.1016/j.eats.2017.05.003
PMID:29354427
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5622206/
Abstract

This Technical Note discusses an anterior cruciate ligament graft preparation technique to simplify and ease graft visualization, insertion, and fixation. Our technique incorporates a 2-mm central trough in the bone plug of the graft to improve one's ability to efficiently identify and orient the anterior cruciate ligament graft during insertion, and ensure correct screw placement and fixation.

摘要

本技术说明讨论了一种前交叉韧带移植物制备技术,以简化并便于移植物的可视化、插入和固定。我们的技术在移植物的骨栓中加入一个2毫米的中央凹槽,以提高在插入过程中有效识别和定位前交叉韧带移植物的能力,并确保螺钉的正确放置和固定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/83fb04576524/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/f7191e54edc3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/af21480341c8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/90c9fece4a07/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/8680535439b7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/9f17f90d2376/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/e45237486a4a/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/c1603c138817/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/f238c911a74d/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/83fb04576524/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/f7191e54edc3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/af21480341c8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/90c9fece4a07/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/8680535439b7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/9f17f90d2376/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/e45237486a4a/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/c1603c138817/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/f238c911a74d/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c2/5622206/83fb04576524/gr9.jpg

相似文献

1
Simplifying Anterior Cruciate Ligament Graft Bone Plug Reconstructions: The "U" Trough Technique.简化前交叉韧带移植物骨栓重建:“U”形槽技术
Arthrosc Tech. 2017 Aug 7;6(4):e1271-e1274. doi: 10.1016/j.eats.2017.05.003. eCollection 2017 Aug.
2
[Replacement of the anterior cruciate ligament. Biomechanical studies for patellar and semitendinosus tendon fixation with a poly(D,L-lactide) interference screw].[前交叉韧带置换。聚(D,L-丙交酯)干涉螺钉固定髌腱和半腱肌肌腱的生物力学研究]
Unfallchirurg. 1999 Feb;102(2):115-23. doi: 10.1007/s001130050382.
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Arch Bone Jt Surg. 2015 Jan;3(1):29-34. Epub 2015 Jan 15.
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Comparison of screw post fixation and free bone block interference fixation for anterior cruciate ligament soft tissue grafts: biomechanical considerations.前交叉韧带软组织移植物的螺钉柱固定与游离骨块干涉固定的比较:生物力学考量
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Technical note: alternative soft-tissue graft preparation technique for cruciate ligament reconstruction.技术说明:用于交叉韧带重建的替代软组织移植制备技术
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Effects of tunnel dilation and interference screw position on the biomechanical properties of tendon graft fixation for anterior cruciate ligament reconstruction.隧道扩张和干扰螺钉位置对前交叉韧带重建中肌腱移植物固定的生物力学特性的影响。
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Tibial tunnel bone grafting: a new technique for dealing with graft-tunnel mismatch in endoscopic anterior cruciate ligament reconstruction.胫骨隧道骨移植:一种在内镜下前交叉韧带重建中处理移植物-隧道不匹配的新技术。
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本文引用的文献

1
Choosing a Graft for Anterior Cruciate Ligament Reconstruction: Surgeon Influence Reigns Supreme.选择前交叉韧带重建的移植物:外科医生的影响最为关键。
Am J Orthop (Belle Mead NJ). 2016 May-Jun;45(4):E192-7.
2
Change in Size of Hamstring Grafts During Preparation for ACL Reconstruction: Effect of Tension and Circumferential Compression on Graft Diameter.前交叉韧带重建准备过程中腘绳肌移植物的尺寸变化:张力和周向压缩对移植物直径的影响。
J Bone Joint Surg Am. 2016 Mar 16;98(6):484-9. doi: 10.2106/JBJS.15.00802.
3
Converting round tendons to flat tendon constructs: Does the preparation process have an influence on the structural properties?
将圆形肌腱转化为扁平肌腱结构:制备过程是否会对结构特性产生影响?
Knee Surg Sports Traumatol Arthrosc. 2017 May;25(5):1561-1567. doi: 10.1007/s00167-015-3749-7. Epub 2015 Aug 14.
4
Anterior cruciate ligament graft preparation: a new and quick alternative to the whipstitch.前交叉韧带移植物制备:一种替代褥式缝合法的新型快速方法。
Arthroscopy. 2007 Mar;23(3):326.e1-3. doi: 10.1016/j.arthro.2006.07.031. Epub 2006 Nov 27.
5
Suture holes in anterior cruciate ligament bone-patellar tendon-bone grafts.
Arthroscopy. 2005 Aug;21(8):1011. doi: 10.1016/j.arthro.2005.04.097.