Lun Kimberley Kai, Dan Michael J, Broe David, Walsh William R
Surgical and Orthopaedic Research Laboratories, Prince of Wales Clinical School, University of New South Wales, Sydney, Australia.
Arthrosc Tech. 2021 Jan 20;10(1):e177-e180. doi: 10.1016/j.eats.2020.09.022. eCollection 2021 Jan.
Graft harvesting is often a challenging step of anterior cruciate ligament reconstructions. Accurate isolation of the hamstring tendons at the pes anserinus is crucial to successful graft harvesting. We describe a technique of using a branch of the inferior medial geniculate artery overlying the pes anserinus insertion as an anatomical landmark to localize the hamstring tendons for harvest. By using this vessel as an anatomical landmark, the incision length was decreased and the time required to harvest reduced. This is a highly reproducible technique and will be beneficial for soft tissue harvesting surgeons to ease hamstring graft harvesting.
移植物获取通常是前交叉韧带重建手术中具有挑战性的一步。在鹅足准确分离腘绳肌腱对于成功获取移植物至关重要。我们描述了一种技术,即利用覆盖鹅足止点的膝下内侧动脉分支作为解剖标志来定位用于获取的腘绳肌腱。通过将该血管用作解剖标志,切口长度得以缩短,获取所需时间也减少了。这是一种高度可重复的技术,将有助于软组织获取外科医生更轻松地进行腘绳肌移植物获取。