“推挤通过征”——决定选择性束前交叉韧带手术
The Push-Through Sign-Making the Decision for Selective-Bundle Anterior Cruciate Ligament Surgery.
作者信息
Bartolozzi Arthur R, Jog Aashish V, Smith Tyler J
机构信息
Jefferson 3B Orthopedics, Philadelphia, Pennsylvania, U.S.A.
出版信息
Arthrosc Tech. 2019 Dec 23;9(1):e143-e146. doi: 10.1016/j.eats.2019.09.014. eCollection 2020 Jan.
Partial anterior cruciate ligament (ACL) tears are often difficult to diagnose and treat. Recent interest in the literature has focused on performing selective-bundle ACL reconstruction in patients with symptomatic partial ACL tears when one of the ACL bundles is intact. However, the clinical examination, magnetic resonance imaging, and arthroscopic evaluation of partial ACL tears may not correlate, and proper assessment of the integrity of the intact portion of the ACL continues to be a challenge. If a selective-bundle ACL reconstruction is performed in a patient with an apparently intact but structurally damaged individual bundle, the outcome would be compromised by leaving the damaged bundle in place. This technical note provides a description of a simple and reliable arthroscopic method to aid in the diagnosis of a partial ACL tear. The use of this method to assess remaining ligamentous tissue will assist surgeons in deciding for or against selective-bundle ACL reconstruction.
前交叉韧带(ACL)部分撕裂常常难以诊断和治疗。近期文献关注的焦点在于,对于有症状的ACL部分撕裂且其中一束完整的患者,进行选择性束状ACL重建。然而,ACL部分撕裂的临床检查、磁共振成像及关节镜评估可能并不相关,对ACL完整部分完整性的正确评估仍是一项挑战。如果在一个看似完整但结构受损的单束患者中进行选择性束状ACL重建,将受损束留在原位会影响手术效果。本技术说明介绍了一种简单可靠的关节镜方法,以辅助诊断ACL部分撕裂。使用该方法评估剩余韧带组织将有助于外科医生决定是否进行选择性束状ACL重建。