Rassi George El, Maalouly Joseph, Tawk Antonios, Aouad Dany
Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, Beirut, Lebanon.
Arthrosc Tech. 2021 Feb 2;10(3):e647-e652. doi: 10.1016/j.eats.2020.10.052. eCollection 2021 Mar.
Anterior cruciate ligament (ACL) rupture remains a debilitating orthopaedic pathology with a substantial economic and psychological burden on patients, especially athletes. The purpose of ACL reconstruction is to attain maximum joint stability and functionality, allowing patients to resume their previous level of activity. Several graft options and techniques are available for ACL reconstruction. The all-inside remnant-preservation technique is a minimally invasive approach aiming for improved proprioception, better graft integration, and increased graft strength via ACL augmentation by suture approximation with an optimal anatomic reconstruction. ACL augmentation is associated with a decreased risk of rerupture. Moreover, enhancement of knee proprioception via the presented technique allows an early return to activity by patients because weight bearing (with a brace) can be initiated as early as day 1 postoperatively. Patients can resume running activities by 2 months postoperatively and return to pivot sports by 3 months postoperatively. Despite this surgical procedure being technically demanding, it is associated with improved clinical outcomes and functional capacities. Patients are also found to better tolerate the postoperative rehabilitation protocol.
前交叉韧带（ACL）断裂仍然是一种使人衰弱的骨科疾病，给患者，尤其是运动员带来巨大的经济和心理负担。ACL重建的目的是实现最大程度的关节稳定性和功能，使患者能够恢复到以前的活动水平。ACL重建有多种移植物选择和技术。全关节镜下保留残端技术是一种微创方法，旨在通过最佳解剖重建的缝线近似法增强ACL，以改善本体感觉、促进移植物更好地整合并增强移植物强度。ACL增强与再断裂风险降低相关。此外，通过所介绍的技术增强膝关节本体感觉可使患者早日恢复活动，因为术后第1天即可（使用支具）开始负重。患者术后2个月可恢复跑步活动，术后3个月可恢复旋转运动。尽管该手术操作技术要求较高，但它与改善的临床结果和功能能力相关。还发现患者对术后康复方案的耐受性更好。
