Patel Neeraj M, Talathi Nakul S
Division of Orthopaedic Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, U.S.A.
Department of Orthopaedic Surgery, University of California-Los Angeles Health, Los Angeles, California, U.S.A.
Arthrosc Tech. 2020 Oct 1;9(10):e1627-e1633. doi: 10.1016/j.eats.2020.07.003. eCollection 2020 Oct.
Graft failure after anterior cruciate ligament reconstruction remains a challenging complication in the pediatric population. The anterolateral ligament (ALL) contributes to rotational stability, and early evidence in adults suggests that ALL reconstruction may lower the risk of anterior cruciate ligament graft rupture. We present a technique for combined ALL reconstruction and anterolateral capsular reinforcement using iliotibial band autograft in skeletally immature patients. This procedure seeks to provide additional rotational stability in varying degrees of flexion while avoiding the physes and eliminating the need for implants.
在儿童群体中，前交叉韧带重建术后的移植物失败仍然是一个具有挑战性的并发症。前外侧韧带（ALL）有助于旋转稳定性，成人的早期证据表明，ALL重建可能会降低前交叉韧带移植物破裂的风险。我们介绍一种在骨骼未成熟患者中使用自体髂胫束进行ALL重建和前外侧关节囊加强的联合技术。该手术旨在在不同程度的屈曲中提供额外的旋转稳定性，同时避开骨骺并消除对植入物的需求。
