Gudas Rimtautas, Rimkūnas Augustinas, Staškūnas Mantas
Department of Orthopedics and Traumatology, Hospital of Lithuanian University of Health Sciences (LSMU), Kaunas Clinics, Kaunas, Lithuania.
Arthrosc Tech. 2021 Mar 1;10(4):e981-e986. doi: 10.1016/j.eats.2020.11.020. eCollection 2021 Apr.
Anterior cruciate ligament (ACL) reconstruction using a single 4-strand semitendinosus graft is a popular technique; unfortunately, the size (diameter) of the graft varies between 7 and 9 mm in many cases. The literature reveals that smaller diameter of the graft determines poorer Knee injury and Osteoarthritis Outcome Score sport/recreation functional scores and leads to revision surgery. Our Technical Note describes a method of preparing >10-mm size hamstring autografts in all cases while increasing the strength of fixation and covering as much of the anatomical ACL attachment footprint area as possible. We report an anatomic reconstruction technique of ACL with 8-strand semitendinosus and gracilis grafts fixed with 2 suspensory fixation systems-PULLUP (SBM, Lourdes, France). Combined with a complete tibial tunnel outside-in approach, this technique allows a quick and easy ACL reconstruction with a large diameter of the graft and increased stability of the fixation.
使用单股四股半腱肌移植物进行前交叉韧带（ACL）重建是一种常用技术；不幸的是，在许多情况下，移植物的尺寸（直径）在7至9毫米之间变化。文献表明，较小直径的移植物会导致较差的膝关节损伤和骨关节炎疗效评分中的运动/娱乐功能评分，并导致翻修手术。我们的技术说明描述了一种在所有情况下制备直径大于10毫米的腘绳肌自体移植物的方法，同时增加固定强度并尽可能覆盖更多的解剖学ACL附着足迹区域。我们报告了一种使用8股半腱肌和股薄肌移植物并采用2种悬吊固定系统——PULLUP（法国卢尔德SBM公司）进行ACL解剖重建的技术。结合完整的经胫骨隧道由外向内入路，该技术可实现快速简便的ACL重建，移植物直径大且固定稳定性增强。
