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社论评论:独立股骨隧道钻孔可避免前交叉韧带移植物错位:经胫骨转换的建议

Editorial Commentary: Independent Femoral Tunnel Drilling Avoids Anterior Cruciate Ligament Graft Malpositioning: Advice From a Transtibial Convert.

机构信息

University of Missouri.

出版信息

Arthroscopy. 2021 Jan;37(1):338-339. doi: 10.1016/j.arthro.2020.10.026.

DOI:10.1016/j.arthro.2020.10.026
PMID:33384091
Abstract

Optimal femoral anterior cruciate ligament graft placement has been extensively studied. The champions of transtibial reconstruction debate the backers of anteromedial portal and outside-in drilling. The holy grail is footprint restoration and how we best to get there. To me, creating the femur independently provides the best chance of finding that footprint by being unconstrained by the tibia. Anterior cruciate ligament surgery is challenging enough; decrease intraoperative stress and increase your likelihood of femoral footprint restoration by drilling it though the anteromedial portal.

摘要

对于最佳的股骨前交叉韧带移植物的放置位置已经进行了广泛的研究。胫骨隧道重建的支持者与前内入路和经皮外入路的支持者争论不休。终极目标是恢复韧带的止点以及我们如何才能最好地实现这一目标。对我来说,通过独立处理股骨,不受胫骨的限制,才能有最好的机会找到这个止点。前交叉韧带手术已经极具挑战性;通过经前内入路钻孔来完成手术可以减少术中的压力,增加您恢复股骨止点的可能性。

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