Aitchison Alexandra H, Schlichte Lindsay M, Green Daniel W, Cordasco Frank A
Division of Pediatric Orthopedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.
Sports Medicine Institute, Hospital for Special Surgery, New York, New York, U.S.A.
Arthrosc Tech. 2020 Sep 15;9(10):e1459-e1465. doi: 10.1016/j.eats.2020.06.006. eCollection 2020 Oct.
Historically, one of the most common graft choices for anterior cruciate ligament (ACL) reconstruction in the pediatric population has been the hamstring autograft. Although pediatric ACL reconstructions with a hamstring autograft have allowed a majority of children and adolescents to return to athletics, it has been reported that anywhere between 6% and 38% of these patients will go on to experience subsequent graft rupture. The quadriceps tendon autograft is an alternative to the hamstring tendon autograft that demonstrates superior preliminary outcomes, and we currently recommend it for skeletally immature patients undergoing primary and revision ACL reconstruction. This paper aims to describe our technique for an open full-thickness quadriceps tendon harvest with repair.
从历史上看，在儿科人群中，用于前交叉韧带（ACL）重建最常见的移植物选择之一是腘绳肌自体移植物。尽管使用腘绳肌自体移植物进行儿科ACL重建已使大多数儿童和青少年能够重返体育运动，但据报道，这些患者中有6%至38%会随后发生移植物破裂。股四头肌肌腱自体移植物是腘绳肌肌腱自体移植物的一种替代选择，其初步结果更佳，我们目前推荐将其用于接受初次和翻修ACL重建的骨骼未成熟患者。本文旨在描述我们开放获取全层股四头肌肌腱并进行修复的技术。
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