Malinowski Konrad, Ebisz Michał, Góralczyk Adrian, LaPrade Robert F, Hermanowicz Krzysztof
Artromedical Orthopaedic Clinic, Belchatow, Poland.
ORTIM Orthopaedic Clinic, Bialystok, Poland.
Arthrosc Tech. 2020 Oct 1;9(10):e1559-e1563. doi: 10.1016/j.eats.2020.06.019. eCollection 2020 Oct.
The rapid development of anterior cruciate ligament (ACL) reconstruction and repair techniques has significantly improved the outcomes of these procedures. However, there is still some place for how to improve surgical techniques to limit the amount of revision surgeries. Over the past decade, biological solutions and methods of ligament remodeling enhancement have been proposed. The use of the native ACL remnants has been the most thoroughly analyzed technique. However, despite its benefits, this technique may not to be sufficient to improve outcomes and may cause some technical difficulties. On the other hand, the posterior cruciate ligament (PCL) fat pad contains an abundant synovial vascular network and is located in close proximity to the ACL, which makes it a potential biological donor place of cells and tissue that could enhance the ligamentization of the repaired or reconstructed ACL. To optimize the use of this donor site, we propose the technique of ACL synovialization and revascularization enhancement with a PCL fat pad transfer.
前交叉韧带（ACL）重建和修复技术的快速发展显著改善了这些手术的效果。然而，在如何改进手术技术以减少翻修手术数量方面仍有一定空间。在过去十年中，人们提出了生物解决方案和增强韧带重塑的方法。利用自体ACL残端是分析最为深入的技术。然而，尽管该技术有诸多益处，但可能不足以改善手术效果，还可能带来一些技术难题。另一方面，后交叉韧带（PCL）脂肪垫含有丰富的滑膜血管网络，且紧邻ACL，这使其成为细胞和组织的潜在生物供体部位，有望增强修复或重建ACL的韧带化过程。为优化该供区的使用，我们提出了采用PCL脂肪垫转移增强ACL滑膜化和再血管化的技术。
