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使用连续环固定装置固定的部分厚度股四头肌肌腱移植物进行前交叉韧带重建。

Anterior Cruciate Ligament Reconstruction With a Partial-Thickness Quadriceps Tendon Graft Secured With a Continuous-Loop Fixation Device.

作者信息

Hughes Jonathan D, Vaswani Ravi, Gibbs Christopher M, Tisherman Robert T, Musahl Volker

机构信息

Division of Sports Medicine, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.

出版信息

Arthrosc Tech. 2020 Apr 3;9(5):e603-e609. doi: 10.1016/j.eats.2020.01.016. eCollection 2020 May.

DOI:10.1016/j.eats.2020.01.016
PMID:32489833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7253771/
Abstract

Anterior cruciate ligament reconstruction using quadriceps tendon (QT) autograft has recently gained popularity because newer techniques allow harvest of a robust graft with little soft-tissue dissection or donor-site morbidity. The QT graft can provide a safe, reproducible, and versatile option for primary and revision anterior cruciate ligament reconstruction with equivalent outcomes and failure rates to those of bone-patellar tendon-bone and hamstring tendon grafts. Therefore, continued improvement in surgical technique may help to further improve patient outcomes. This study introduces a modification of current QT techniques using a partial-thickness graft with continuous-loop EndoButton fixation (Smith & Nephew, Andover, MA).

摘要

使用股四头肌肌腱（QT）自体移植物进行前交叉韧带重建近来颇受青睐，因为新技术能够获取强健的移植物，同时软组织分离或供区并发症极少。QT移植物可为初次和翻修前交叉韧带重建提供一种安全、可重复且通用的选择，其效果和失败率与骨-髌腱-骨及腘绳肌腱移植物相当。因此，手术技术的持续改进可能有助于进一步改善患者预后。本研究介绍了一种对当前QT技术的改良方法，即使用带连续环EndoButton固定（史赛克公司，马萨诸塞州安多弗）的部分厚度移植物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/88f5aed37b73/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/e575e9eb5b42/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/5d27432c7ed0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/19e6471f93ff/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/995b02183f6e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/357ec6bb39c8/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/ea3b57249a86/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/3acce3c38aa9/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/159e38c98bcd/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/d1920462aa65/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/88f5aed37b73/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/e575e9eb5b42/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/5d27432c7ed0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/19e6471f93ff/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/995b02183f6e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/357ec6bb39c8/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/ea3b57249a86/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/3acce3c38aa9/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/159e38c98bcd/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/d1920462aa65/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfd/7253771/88f5aed37b73/gr10.jpg

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