Wolfson Theodore S, Mannino Brian, Owens Brett D, Waterman Brian R, Alaia Michael J
NYU Langone Health, New York, New York, USA.
Brown University Alpert Medical School, East Providence, Rhode Island, USA.
Am J Sports Med. 2023 Feb;51(2):545-556. doi: 10.1177/03635465211045705. Epub 2021 Nov 12.
Bone tunnel-related complications are frequently encountered during revision anterior cruciate ligament reconstruction (ACLR). Issues with tunnel positioning, enlargement, containment, and hardware interference may complicate surgery and compromise outcomes. As a result, several strategies have emerged to address these issues and optimize results. However, a systematic, unified approach to tunnel pathology in revision ACLR is lacking. The purpose of this review is to highlight the current state of the literature on bone tunnel complications and, although extensive literature on the subject is lacking, present an updated approach to the evaluation and management of tunnel-related issues in revision ACLR.
在翻修前交叉韧带重建（ACLR）过程中，经常会遇到与骨隧道相关的并发症。隧道定位、扩大、容纳和硬件干扰等问题可能会使手术复杂化并影响手术效果。因此，已经出现了几种策略来解决这些问题并优化结果。然而，在翻修ACLR中，缺乏一种系统、统一的骨隧道病变处理方法。本综述的目的是强调关于骨隧道并发症的文献现状，尽管关于该主题的文献并不丰富，但仍提出一种更新的方法来评估和处理翻修ACLR中与隧道相关的问题。
