Kwapisz Adam, Mollison Scott, Cholewiński Jerzy, MacDonald Peter, Synder Marek, Herman Katarzyna
Klinika Ortopedii i Ortopedii Dziecięcej, Uniwersytet Medyczny w Łodzi, Polska / Department of Orthopedics and Pediatric Orthopedics, Medical University of Łódź, Poland.
North Country Orthopaedic Group, Watertown, New York, USA / North Country Orthopaedic Group, Watertown, New York, USA.
Ortop Traumatol Rehabil. 2019 Dec 31;21(6):397-406. doi: 10.5604/01.3001.0013.7397.
It is widely acknowledged that anterior cruciate ligament (ACL) injury is the cause of anterolateral insta-bility, but in some cases not only the ACL ruptures, but also anterolateral structures (ALS), including the antero-lateral ligament. Their insufficiency may be the cause of residual instability after ACL reconstruction, which significantly increases the risk of graft rupture. In the past, anterolateral instability caused by ACL injury was treat-ed with extra-articular reconstructions, including lateral extra-articular tenodesis. Nowadays those techni-ques are used simultaneously in cases of complex anterolateral and rotational instability. This article briefly describes historical methods of lateral tenodesis and presents step-by-step two techniques used in our depart-ments involving two alternative graft femoral fixation methods.
人们普遍认为，前交叉韧带（ACL）损伤是前外侧不稳定的原因，但在某些情况下，不仅ACL会断裂，前外侧结构（ALS），包括前外侧韧带也会受损。它们的功能不全可能是ACL重建后残留不稳定的原因，这显著增加了移植物破裂的风险。过去，ACL损伤引起的前外侧不稳定通过关节外重建进行治疗，包括外侧关节外腱固定术。如今，这些技术在复杂的前外侧和旋转不稳定病例中同时使用。本文简要描述了外侧腱固定术的历史方法，并逐步介绍了我们科室使用的两种技术，其中涉及两种替代移植物股骨固定方法。
