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两阶段翻修前交叉韧带重建:我们使用同种异体骨栓的经验。

Two-stage revision anterior cruciate ligament reconstruction: Our experience using allograft bone dowels.

作者信息

Theodorides Anthony A, Wall Owen R

机构信息

Department of Orthopaedic Surgery, Chapel Allerton Hospital, Leeds, UK.

出版信息

J Orthop Surg (Hong Kong). 2019 May-Aug;27(2):2309499019857736. doi: 10.1177/2309499019857736.

DOI:10.1177/2309499019857736
PMID:31232200
Abstract

The incidence of anterior cruciate ligament reconstruction (ACLR) is continuously increasing. As a result so has the need for revision ACLR, which unfortunately has worse functional outcomes and rate of return to sport. Revision ACLR can be performed as a single stage or in two stages. The latter is recommended in the presence of enlarged and/or malpositioned tunnels. We describe our surgical technique, experience and outcome of our first 19 patients in whom we used allograft bone dowels in the first stage of revision ACLR.

摘要

前交叉韧带重建术(ACLR)的发生率持续上升。因此,翻修前交叉韧带重建术的需求也随之增加,遗憾的是,其功能预后和重返运动的比率更差。翻修前交叉韧带重建术可以一期完成,也可以分两期进行。在存在隧道扩大和/或位置不良的情况下,建议采用后者。我们描述了我们的手术技术、经验以及首批19例患者的治疗结果,在这些患者的翻修前交叉韧带重建术的第一阶段,我们使用了同种异体骨栓。

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Increased Bone Plug Depth From the Joint Increases Tunnel Enlargement in Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Autograft With Suspensory Femoral Fixation.在采用带悬吊式股骨固定的骨-髌腱-骨自体移植物进行前交叉韧带重建时,关节处骨栓深度增加会加大隧道扩大程度。
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