小儿患者前交叉韧带重建的混合解剖技术改良

Erquicia Juan Ignacio, Ibañez Maximiliano, Espinoza-Von Bischhoffshausen Ricardo, Acuña Gabriel, Lopez Xavier Pelfort, Monllau Juan Carlos

Institut Català de Traumatologia i Medicina de l'Esport, Quiron Dexeus University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain.

Department of Orthopaedic Surgery, Consorci Sanitari de l'Anoia, Igualada, Spain.

Arthrosc Tech. 2020 Dec 19;10(1):e37-e42. doi: 10.1016/j.eats.2020.09.007. eCollection 2021 Jan.

The incidence of anterior cruciate ligament (ACL) lesions with Tanner stage ≤4 has been increasing in children. To stabilize the knee, different surgical techniques have been developed for ACL reconstruction in the pediatric population. The use of a hybrid anatomic technique, intra-epiphyseal in the femur and transphysis in the tibia, has been recommended as the technique of choice to reconstruct the ACL in these patients. Despite the favorable results, this technique is not exempt from complications. The aim of this study was to present a simple and reproducible modification of the hybrid anatomic technique for ACL reconstruction in pediatric patients.

在儿童中，坦纳分期≤4的前交叉韧带（ACL）损伤发生率一直在上升。为了稳定膝关节，针对儿童人群的ACL重建已开发出不同的手术技术。一种混合解剖技术，即股骨采用骨骺内固定、胫骨采用经骺板固定，已被推荐为这些患者重建ACL的首选技术。尽管取得了良好的效果，但该技术并非没有并发症。本研究的目的是提出一种针对儿童患者ACL重建的混合解剖技术的简单且可重复的改良方法。