Jiang Lei, Kaesian Tay, Hwee Chye Andrew Tan
Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, 169608, Singapore.
J Orthop. 2019 Nov 6;19:118-121. doi: 10.1016/j.jor.2019.10.017. eCollection 2020 May-Jun.
We describe a novel hamstring harvesting technique using the "Rule of Twos" as an aide-memoire to dissect the conjoint tendon in an Asian population undergoing anterior cruciate ligament reconstruction. In a prospective study performed on 17 patients to validate this technique, a 2cm incision is placed 2cm distal and medial to the tip of the tibial tubercle. The surgeon then measured the following variables and calculated their means: 1) Distance from the tip of the tibial tuberosity to the proximal edge of the conjoint tendon (19.4 ± 1.4mm), 2) Width of the conjoint tendon insertion (18.8 ± 1.0mm), 3) Conjoint tendon length (20.1 ± 1.0mm).
我们描述了一种新颖的腘绳肌取材技术,该技术使用“双二规则”作为记忆辅助工具,用于在接受前交叉韧带重建的亚洲人群中解剖联合腱。在对17例患者进行的一项前瞻性研究中,为验证该技术,在胫骨结节尖端远端内侧2cm处做一个2cm的切口。然后外科医生测量了以下变量并计算其平均值:1)从胫骨结节尖端到联合腱近端边缘的距离(19.4±1.4mm),2)联合腱插入部的宽度(18.8±1.0mm),3)联合腱长度(20.1±1.0mm)。