Aboalata Mohamed, Elazab Ashraf, Halawa Abdelsamie, Imhoff Andreas B, Bassiouny Yehia
Department of Orthopaedic Surgery, Mansoura University Hospital, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Joint Center, Orthopedic Department, October 6 University, 6th of October, Egypt.
Arthrosc Tech. 2017 Sep 18;6(5):e1633-e1638. doi: 10.1016/j.eats.2017.06.020. eCollection 2017 Oct.
The anterior cruciate ligament suture augmentation technique is a method to augment anterior cruciate ligament reconstruction (ACLR) with autologous hamstring tendons using a braided ultrahigh-molecular weight polyester or polyethylene suture or suture tape and fixed on both the femoral and tibial sides independent of the graft to act as a backup or secondary stabilizer until complete integration and ligamentization of the graft take place. The technique is proposed to allow early rehabilitation and return to sports after ACLR and may be advantageous in patients with a high body mass index and in cases with small grafts (7 or 7.5 mm in diameter). In such situations the technique is supposed to decrease the risk of reinjury, as well as the degree of postoperative lengthening or stretching of the graft, in the early postoperative avascular phase. We describe graft preparation with the internal suture augmentation technique in arthroscopic ACLR using a cortical button system on the femoral side and a Bio-Interference Screw (Arthrex, Naples, FL) on the tibial side.
前交叉韧带缝合增强技术是一种利用编织的超高分子量聚酯或聚乙烯缝线或缝线带，对自体腘绳肌腱重建前交叉韧带（ACLR）进行增强的方法，该缝线或缝线带独立于移植物固定在股骨和胫骨两侧，作为备用或二级稳定器，直至移植物完全整合并韧带化。该技术旨在允许ACLR术后早期康复和恢复运动，对于体重指数较高的患者以及移植物较小（直径7或7.5毫米）的情况可能具有优势。在这种情况下，该技术应该可以降低术后早期无血管阶段再次受伤的风险，以及移植物术后延长或拉伸的程度。我们描述了在关节镜下ACLR中使用股骨侧皮质纽扣系统和胫骨侧生物干扰螺钉（Arthrex，那不勒斯，佛罗里达州）的内缝合增强技术的移植物制备。
