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如何成功进行关节镜下前交叉韧带一期修复？分步技术。

How to Succeed in Arthroscopic Anterior Cruciate Ligament Primary Repair? Step-by-Step Technique.

作者信息

Olmos Manuel Ignacio, Sonnery-Cottet Bertrand, Barth Johannes

机构信息

Department of Orthopedic Surgery, Centre Osteoarticulaire des Cèdres, Grenoble, France.

Department of Orthopedic Surgery, Centre Orthopedique Santy, Lyon, France.

出版信息

Arthrosc Tech. 2018 Dec 17;8(1):e37-e46. doi: 10.1016/j.eats.2018.08.028. eCollection 2019 Jan.

DOI:10.1016/j.eats.2018.08.028
PMID:30899649
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6408695/
Abstract

Historically, poor results of open primary repair of anterior cruciate ligament (ACL) injuries have been reported. It has recently been recognized that favorable outcomes of primary ACL repair are possible when selectively performed in patients with proximal tears and good tissue quality. Moreover, with arthroscopic technological advances, primary repair can be a valuable treatment option for patients with proximal tears. Preserving the native ACL has several advantages, including maintenance of native proprioceptive function and biology. The procedure is also minimally invasive and reduces the inflammatory reaction often seen in ACL reconstruction. Recently, it has been suggested that additional suture augmentation of the primary repair technique may be beneficial for protecting ligament healing during early range of motion. In this Technical Note, we present the step-by-step surgical technique of arthroscopic primary repair using a femoral suspensory device with suture augmentation.

摘要

从历史上看，有报道称前交叉韧带（ACL）损伤的开放一期修复效果不佳。最近人们认识到，对于近端撕裂且组织质量良好的患者，选择性地进行一期ACL修复可能会取得良好的效果。此外，随着关节镜技术的进步，一期修复对于近端撕裂的患者可以成为一种有价值的治疗选择。保留天然ACL有几个优点，包括维持天然本体感觉功能和生物学特性。该手术也是微创的，可减少ACL重建中常见的炎症反应。最近有人提出，一期修复技术增加缝线增强可能有利于在早期活动范围内保护韧带愈合。在本技术说明中，我们介绍了使用带缝线增强的股骨悬吊装置进行关节镜一期修复的分步手术技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a00b/6408695/8277e9dc086f/gr17.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a00b/6408695/d0890c7c200a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a00b/6408695/4373178ace69/gr4.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a00b/6408695/870121318860/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a00b/6408695/496e91eead7c/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a00b/6408695/ea7d4267683a/gr8.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a00b/6408695/cd33d872e3ad/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a00b/6408695/a8b0fc2e49c4/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a00b/6408695/4ce34555f637/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a00b/6408695/50a99aa0a73e/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a00b/6408695/83804070ffbb/gr15.jpg
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