Zhao Jinzhong, Qiu Jiayu, Chen Jiebo, Xu Junjie
Department of Sports Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Arthrosc Tech. 2020 Jul 22;9(8):e1141-e1146. doi: 10.1016/j.eats.2020.04.013. eCollection 2020 Aug.
The outcomes of double-bundle anterior cruciate ligament (ACL) reconstruction leave room for improvement. We hope to augment double-bundle ACL reconstruction with the reconstruction of an ACL-mimicking anterolateral structure (ALS). Thus, we would like to introduce a combined double-bundle ACL reconstruction and ACL-mimicking ALS reconstruction technique. The main indication for this technique is ACL injury with a high degree of pivot shift test, general laxity, or near critical value of the posterior tibial slope. The main steps in this technique include preparation of an isolated graft for the anteromedial bundle of the ACL and a combined graft for the posterolateral bundle of the ACL and ALS, creation of three tibial tunnels and two femoral tunnels, graft placement, and final graft fixation at an adjustable loop. We have obtained promising clinical outcomes with this technique and consider that this report will provide new options in ACL reconstruction.
双束前交叉韧带（ACL）重建的效果仍有改进空间。我们希望通过重建模仿ACL的前外侧结构（ALS）来增强双束ACL重建。因此，我们想介绍一种双束ACL重建与模仿ACL的ALS重建相结合的技术。该技术的主要适应证为前交叉韧带损伤且轴移试验为高度阳性、关节普遍松弛或胫骨后倾接近临界值。该技术的主要步骤包括制备用于ACL前内侧束的单独移植物以及用于ACL后外侧束和ALS的联合移植物，创建三个胫骨隧道和两个股骨隧道，移植物植入，以及在可调节环处进行最终移植物固定。我们使用该技术已取得了令人满意的临床效果，并认为本报告将为ACL重建提供新的选择。
