Moutzouros Vasilios, Jildeh Toufic R
Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan, U.S.A.
Arthrosc Tech. 2021 Jun 20;10(7):e1717-e1721. doi: 10.1016/j.eats.2021.03.019. eCollection 2021 Jul.
In anterior cruciate ligament (ACL) reconstruction, the remnant ACL is often debrided in an effort to improve visualization of patient anatomy and reduce surgical difficulty. However, retention of the tibial remnant of a torn ACL theoretically portends several advantages. These include preservation of knee proprioception and mechanoreceptors, an enhanced biological environment for healing, and accelerated revascularization and ligamentization of the graft. Despite these advantages, it is not a widely adopted practice and the optimal technique is still subject to debate. The purpose of this technical note is to describe our preferred technique for performing hybrid ACL reconstruction with remnant incorporation.
在前交叉韧带（ACL）重建中，通常会清理残留的ACL，以改善对患者解剖结构的可视化并降低手术难度。然而，理论上保留撕裂ACL的胫骨残端有几个优点。这些优点包括保留膝关节本体感觉和机械感受器、为愈合提供更好的生物环境，以及加速移植物的血管再生和韧带化。尽管有这些优点，但这并不是一种广泛采用的做法，最佳技术仍存在争议。本技术说明的目的是描述我们进行保留残端的混合ACL重建的首选技术。
