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利用腘绳肌腱对膝关节进行前侧和前外侧联合稳定术

Combined Anterior and Anterolateral Stabilization of the Knee With the Hamstring Tendons.

作者信息

Robert Henri, Vincent Jean-Philippe

机构信息

Orthopedic Surgery Unit, Haut-Anjou Hospital, Château-Gontier, France.

Private Hospital Océane, Vannes, France.

出版信息

Arthrosc Tech. 2021 Jan 6;10(2):e275-e282. doi: 10.1016/j.eats.2020.10.003. eCollection 2021 Feb.

DOI:10.1016/j.eats.2020.10.003
PMID:33680756
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7917012/
Abstract

Anterior cruciate ligament reconstruction allows good control of sagittal laxity but insufficient rotary laxity control. Our objective is to describe an original lateral extra-articular tenodesis using gracilis in addition to an intra-articular reconstruction using the semitendinosus in a short 4-strand graft. The principles are as follows: The femoral tunnel for intra-articular and extra-articular reconstruction is unique, the femoral attachment is posterior and proximal to the lateral epicondyle, the graft is under the lateral collateral ligament, and the tibial insertion is isometric from 0° to 60° between the Gerdy tubercle and the fibular head.

摘要

前交叉韧带重建可很好地控制矢状面松弛，但对旋转松弛的控制不足。我们的目的是描述一种原始的外侧关节外肌腱固定术，除了使用半腱肌进行关节内重建并用短4股移植物外，还使用股薄肌。其原则如下：用于关节内和关节外重建的股骨隧道是单一的，股骨附着点位于外侧髁后方且靠近近端，移植物位于外侧副韧带下方，胫骨插入点在Gerdy结节和腓骨头之间从0°到60°是等长的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/63b724dd8320/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/f35879c7e3c4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/c9b1fdcf34c6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/ed032bdc3ec3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/da1d206d9ae8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/c95bbcc61ff9/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/56995b51c163/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/4dea71ed3c00/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/00ba484ea870/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/5e8b8ef276b3/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/7bfbdfe693de/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/c75641332e5a/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/9f09f7ffd1b2/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/2157ee908814/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/bd4b3d21b1a8/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/63b724dd8320/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/f35879c7e3c4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/c9b1fdcf34c6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/ed032bdc3ec3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/da1d206d9ae8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/c95bbcc61ff9/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/56995b51c163/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/4dea71ed3c00/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/00ba484ea870/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/5e8b8ef276b3/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/7bfbdfe693de/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/c75641332e5a/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/9f09f7ffd1b2/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/2157ee908814/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/bd4b3d21b1a8/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31ae/7917012/63b724dd8320/gr15.jpg

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