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使用探路者导向器进行前交叉韧带隧道定位

Anterior Cruciate Ligament Tunnel Placement Using the Pathfinder Guide.

作者信息

Patel Karan A, Chhabra Anikar, Makovicka Justin L, Bingham Joshua, Piasecki Dana P, Hartigan David E

机构信息

Department of Orthopedics, Mayo Clinic, Phoenix, Arizona, U.S.A.

OrthoCarolina, Charlotte, North Carolina, U.S.A.

出版信息

Arthrosc Tech. 2017 Aug 14;6(4):e1291-e1296. doi: 10.1016/j.eats.2017.05.009. eCollection 2017 Aug.

DOI:10.1016/j.eats.2017.05.009
PMID:29354431
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5622279/
Abstract

Reconstruction techniques for the anterior cruciate ligament (ACL) have evolved considerably over the past 3 decades. The femoral tunnel is most commonly made via a transtibial or separate anteromedial portal approach. Benefits and drawbacks for each of these techniques exist. Improper tunnel placement is the cause of failure for ACL reconstruction 70% of the time. We present a hybrid technique for femoral tunnel placement using the Pathfinder ACL guide, which attempts to give the surgeon many of the benefits of both the transtibial and anteromedial portal techniques without the drawbacks.

摘要

在过去30年中，前交叉韧带（ACL）重建技术有了很大发展。股骨隧道最常用经胫骨或单独的前内侧入路建立。每种技术都有其优缺点。隧道放置不当是70%的ACL重建失败的原因。我们介绍一种使用探路者ACL导向器进行股骨隧道放置的混合技术，该技术试图为外科医生带来经胫骨和前内侧入路技术的诸多优点而无其缺点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/5622279/61bb564c1ddf/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/5622279/dc8911c77506/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/5622279/97a1f644ec8f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/5622279/3ae8fab057e7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/5622279/f9bedeede962/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/5622279/61bb564c1ddf/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/5622279/dc8911c77506/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/5622279/97a1f644ec8f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/5622279/3ae8fab057e7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/5622279/f9bedeede962/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e5/5622279/61bb564c1ddf/gr5.jpg

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Comparison of Femoral Tunnel Length and Obliquity Between Transtibial, Anteromedial Portal, and Outside-In Surgical Techniques in Single-Bundle Anterior Cruciate Ligament Reconstruction: A Meta-analysis.
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