Tang Jin, Zhao Jinzhong
Operating Theater, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Department of Sports Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Arthrosc Tech. 2020 Aug 2;9(8):e1109-e1114. doi: 10.1016/j.eats.2020.04.009. eCollection 2020 Aug.
The outcomes of anterior cruciate ligament (ACL) reconstruction are still unsatisfactory. Anterolateral ligament (ALL) reconstruction has been applied to augment ACL reconstruction, with better but still nonoptimal results. An anatomical analysis revealed that the route of ALL is quite different from that of ACL on the lateral view of the knee. Thus, we hope to augment ACL reconstruction with the reconstruction of an ACL-mimicking anterolateral structure, in which the route is similar to that of ACL. Thus, we aimed to introduce a combined ACL and ACL-mimicking anterolateral structure reconstruction technique, which we named condyle-pinching double-bundle ACL reconstruction. The main indication of this technique is ACL injury with a high degree of pivot shift or general laxity. The main steps of this technique include preparation of a combined graft, creation of a common femoral tunnel and 2 tibial tunnels, graft placement, and final graft fixation to an adjustable loop. We have been obtaining obvious outcome improvement clinically with this technique and consider that this report will provide special option in ACL reconstruction.
前交叉韧带（ACL）重建的效果仍不尽人意。前外侧韧带（ALL）重建已被用于增强ACL重建，结果有所改善但仍不理想。解剖学分析显示，在膝关节侧视图上，ALL的走行与ACL有很大不同。因此，我们希望通过重建一种走行与ACL相似的模仿ACL的前外侧结构来增强ACL重建。因此，我们旨在介绍一种联合ACL和模仿ACL的前外侧结构重建技术，我们将其命名为髁夹双束ACL重建。该技术的主要适应症是伴有高度轴移或普遍松弛的ACL损伤。该技术的主要步骤包括制备联合移植物、创建一个共同的股骨隧道和两个胫骨隧道、移植物放置以及最终将移植物固定到可调环上。我们使用该技术在临床上取得了明显的效果改善，并认为本报告将为ACL重建提供特殊的选择。
