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解剖双束经胫骨前交叉韧带重建术

Anatomic Double-Bundle Transtibial Anterior Cruciate Ligament Reconstruction.

作者信息

Zhao Jinzhong

机构信息

Department of Sports Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.

出版信息

Arthrosc Tech. 2021 Feb 2;10(3):e683-e690. doi: 10.1016/j.eats.2020.10.058. eCollection 2021 Mar.

DOI:10.1016/j.eats.2020.10.058
PMID:33738202
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7953165/
Abstract

Double-bundle anterior cruciate ligament (ACL) reconstruction (DBACLR) is a reasonable transition from single-bundle ACL reconstruction to obtain better clinical outcomes, and most authors believe that it can only be performed through a medial portal. However, in our clinical practice, we have found that anatomic DBACLR can be performed easily and exactly through transtibial tunnels just by positioning the tibial tunnels appropriately. Thus, we would like to introduce this anatomic double-bundle transtibial ACL reconstruction technique, in which the most critical step is to create a shallow tibial tunnel for the anteromedial bundle with a proximal projection to the anatomic location of the corresponding femoral tunnel. We believe this Technical Note will give an interesting view of anatomic DBACLR.

摘要

双束前交叉韧带（ACL）重建术（DBACLR）是从单束ACL重建向获得更好临床效果的合理过渡，大多数作者认为其只能通过内侧入路进行。然而，在我们的临床实践中，我们发现通过适当定位胫骨隧道，解剖学双束ACL重建术可经胫骨隧道轻松且准确地完成。因此，我们想介绍这种解剖学双束经胫骨ACL重建技术，其中最关键的步骤是为前内侧束创建一个浅的胫骨隧道，其近端投影至相应股骨隧道的解剖位置。我们相信本技术说明将为解剖学双束ACL重建术提供一个有趣的视角。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/1c89fab83437/gr12.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/daa4c2ef077d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/3b42e761a7b1/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/57d717286ac6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/204534d8c97c/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/40d1fdef140c/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/15fd97243ea9/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/2bf9276314f3/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/b3d16d80a8af/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/1c89fab83437/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/6af04860d5de/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/cd37755963e4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/de22eef90733/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/daa4c2ef077d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/3b42e761a7b1/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/57d717286ac6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/204534d8c97c/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/40d1fdef140c/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/15fd97243ea9/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/2bf9276314f3/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/b3d16d80a8af/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/7953165/1c89fab83437/gr12.jpg

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