Chmielnicki Marc, Siebert Wolfram, Prokop Axel
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikverbund Südwest, Kliniken Sindelfingen.
Z Orthop Unfall. 2018 Apr;156(2):223-225. doi: 10.1055/s-0044-100734. Epub 2018 Apr 17.
Rupture of the anterior cruciate ligament (ACL) is a common sports injury. Shear forces can damage the articular cartilage and lead to early osteoarthritis. Ligamentary stabilisation of the knee is necessary. Today, arthroscopic ACL repair is a standard knee procedure. Transplant fixation is often performed using implants, e.g. interference screws. The foreign material-free procedure using the Felmet technique enables biological, mechanically stable fixation of the hamstring tendon graft. We demonstrate the surgical technique, including meniscus suture and a video case study.
前交叉韧带(ACL)断裂是一种常见的运动损伤。剪切力会损伤关节软骨并导致早期骨关节炎。膝关节的韧带稳定是必要的。如今,关节镜下ACL修复是一种标准的膝关节手术。移植固定通常使用植入物,例如干涉螺钉。采用费尔梅技术的无异物手术能够实现腘绳肌腱移植物的生物性、机械稳定固定。我们展示了手术技术,包括半月板缝合以及一个视频病例研究。