Buyukdogan Kadir, Laidlaw Michael S, Miller Mark D
Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia, U.S.A.
Arthrosc Tech. 2017 Aug 14;6(4):e1297-e1302. doi: 10.1016/j.eats.2017.05.010. eCollection 2017 Aug.
Revision anterior cruciate ligament (ACL) reconstruction is substantially more challenging than primary reconstruction. Management of previously malpositioned or widened tunnels often requires innovative approaches for managing bony defects. Massive osteolysis with poor bone stock and convergence or overlapping of revision tunnels into the previously placed tunnels may necessitate a staged revision procedure. In this surgical technique description, we describe a method for the management of bony deficiencies using allograft bone dowels in staged revision ACL reconstruction.
前交叉韧带(ACL)翻修重建比初次重建更具挑战性。处理先前位置不当或增宽的隧道通常需要创新方法来处理骨缺损。严重骨溶解且骨量不足,以及翻修隧道与先前放置的隧道汇聚或重叠,可能需要分阶段进行翻修手术。在本手术技术描述中,我们介绍一种在分阶段翻修ACL重建中使用同种异体骨栓处理骨缺损的方法。