Zhao Lilian, Lu Mingfeng, Deng Mingcong, Xing Jisi, Xu Ting
Department of Sports Medicine, Foshan Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Foshan, China.
Guangzhou University of Traditional Chinese Medicine, Guangzhou, Guangdong province, Guangzhou, China.
Arthrosc Tech. 2020 Dec 21;9(12):e1927-e1935. doi: 10.1016/j.eats.2020.08.025. eCollection 2020 Dec.
The primary repair technique of acute anterior cruciate ligament (ACL) tears has been controversially discussed over the past few decades. Many different suture techniques have been reported for ACL repair, but these procedures showed high re-rupture rates and poor results. Recently, the literature has reported excellent outcomes with primary ACL repair. There has been a resurging interest in modernizing and augmenting primary ACL repair. This article describes a technique that uses internal brace augmentation and a knotless anchor (Arthrex) implant for primary anatomic double-bundle ACL repair after an acute proximal ACL tear. This technique aims to advocate natural healing by the high-strength internal brace augmentation and knotless anchor as a provisional scaffold during the healing phase and early mobilization. This technique might be an alternative to conventional ACL reconstruction in the appropriate selection of patients.
在过去几十年里，急性前交叉韧带（ACL）撕裂的初次修复技术一直存在争议。已有许多不同的缝合技术用于ACL修复，但这些手术显示出较高的再断裂率和不佳的效果。最近，文献报道初次ACL修复取得了优异的结果。人们对使初次ACL修复现代化并进行强化的兴趣再度兴起。本文描述了一种技术，该技术使用内部支撑增强和无结锚钉（Arthrex）植入物，用于急性近端ACL撕裂后的初次解剖双束ACL修复。该技术旨在通过高强度内部支撑增强和无结锚钉作为愈合阶段和早期活动期间的临时支架来促进自然愈合。在适当选择患者的情况下，该技术可能是传统ACL重建的一种替代方法。
