Rocha de Faria José Leonardo, Pavão Douglas Melo, Werneck Fernando Carneiro, de Castro Moreirão Marcos, Labronici Pedro José, de Paula Mozella Alan, Branco de Sousa Eduardo
Knee Surgery Center of the National Institute of Traumatology and Orthopedics of Brazil, Rio de Janeiro, Brazil.
Fluminense Federal University of Brazil, Rio de Janeiro, Brazil.
Arthrosc Tech. 2019 Dec 24;9(1):e131-e135. doi: 10.1016/j.eats.2019.09.011. eCollection 2020 Jan.
During reconstruction surgery of the anterior cruciate ligament, the evolution of the femoral tunnel from the transtibial to the transportal path provides greater accuracy in reaching the desired anatomic point. However, there are also some new challenges, such as correct execution, reproducibility, and minimizing the risk of iatrogenic injury from its use. In an effort to overcome these challenges, we have proposed the use of a positioner, which was developed by our group and allows the leg to stay in the desired position, without variations in the operation or aid from a medical assistant. This manuscript presents our femoral tunnel preparation technique and its application in clinical practice.
在前交叉韧带重建手术中，股骨隧道从经胫骨路径向经髁间路径的演变，能更精确地到达理想的解剖位置。然而，这也带来了一些新挑战，比如操作的正确性、可重复性，以及将使用该技术导致医源性损伤的风险降至最低。为了克服这些挑战，我们提出使用一种定位器，它由我们团队研发，可使腿部保持在理想位置，无需手术过程中有变动，也无需医疗助手协助。本文介绍了我们的股骨隧道制备技术及其在临床实践中的应用。
