Li Qiang, Li Kuangda, Zhan Liqiong, Han Qiong, Wu Maohou, Zhang Nanxin
Department of Orthopedics, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Department of Rehabilitation, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Arthrosc Tech. 2020 Jun 9;9(7):e917-e923. doi: 10.1016/j.eats.2020.03.007. eCollection 2020 Jul.
Recently, favorable outcomes of primary anterior cruciate ligament (ACL) repair have been reported in patients with proximal tears and good tissue quality. If the tear involves the midsubstance of the ACL fibers or Sherman type II or III injury, independent primary repair will cause a higher failure rate at long-term follow-up. For these cases, we conduct primary repair and apply an internal brace and single-bundle reconstruction as hybrid augmentation. This hybrid repair technique encourages natural healing of the primary ligament by the internal brace and single-bundle graft as a provisional scaffold during the healing phase, as well as early mobilization. We describe our ACL hybrid repair technique, using a video and illustrations.
最近，有报道称，对于近端撕裂且组织质量良好的患者，一期前交叉韧带（ACL）修复取得了良好的效果。如果撕裂累及ACL纤维的中部或Sherman II型或III型损伤，单纯一期修复在长期随访中会导致更高的失败率。对于这些病例，我们进行一期修复，并应用内部支具和单束重建作为混合增强术。这种混合修复技术通过内部支具和单束移植物作为愈合阶段的临时支架，促进原始韧带的自然愈合，以及早期活动。我们使用视频和插图描述我们的ACL混合修复技术。
