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经胫骨前交叉韧带重建：成功进行解剖重建的技巧

Transtibial Anterior Cruciate Ligament Reconstruction: Tips for a Successful Anatomic Reconstruction.

作者信息

Manderle Brandon J, Beletsky Alexander, Gorodischer Tomas, Chahla Jorge, Cancienne Jourdan M, Vadhera Amar S, Trasolini Nicholas, Williams Brady T, Gursoy Safa, Bach Bernard R, Verma Nikhil N

机构信息

Midwest Orthopaedics at Rush, Chicago, Illinois, U.S.A.

Department of Orthopedics and Traumatology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

出版信息

Arthrosc Tech. 2021 Nov 29;10(12):e2783-e2788. doi: 10.1016/j.eats.2021.08.025. eCollection 2021 Dec.

DOI:10.1016/j.eats.2021.08.025
PMID:35004161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8719302/
Abstract

Anterior cruciate ligament (ACL) reconstruction is one of the most commonly performed orthopaedic sports procedures. Two main techniques are used for accomplishing an ACL reconstruction: transtibial and anteromedial portal techniques. The transtibial technique has been criticized for its inability to create an anatomic femoral tunnel given the intrinsic constraint of the tibial tunnel during drilling. However, technical modifications of the transtibial technique can result in anatomic tunnel entrance positioning and a properly oriented graft. This Technical Note presents our technique for anatomic transtibial ACL reconstruction.

摘要

前交叉韧带（ACL）重建是最常进行的骨科运动手术之一。完成ACL重建主要使用两种技术：经胫骨技术和前内侧入路技术。经胫骨技术因在钻孔时受胫骨隧道固有限制而无法创建解剖学上的股骨隧道而受到批评。然而，经胫骨技术的技术改进可实现解剖学隧道入口定位和移植物正确定向。本技术说明介绍了我们的解剖学经胫骨ACL重建技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99fb/8719302/8a91da089c1c/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99fb/8719302/7cabfaa6c7da/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99fb/8719302/1d5eea0493b7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99fb/8719302/f3c493209077/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99fb/8719302/28cb0dbe6b67/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99fb/8719302/0c6188614aed/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99fb/8719302/f15899324348/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99fb/8719302/8a91da089c1c/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99fb/8719302/7cabfaa6c7da/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99fb/8719302/1d5eea0493b7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99fb/8719302/f3c493209077/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99fb/8719302/28cb0dbe6b67/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99fb/8719302/0c6188614aed/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99fb/8719302/f15899324348/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99fb/8719302/8a91da089c1c/gr7.jpg

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2
Functional Performance Testing After Anterior Cruciate Ligament Reconstruction: A Systematic Review.前交叉韧带重建后功能表现测试：系统评价。
Orthop J Sports Med. 2014 Jan 21;2(1):2325967113518305. doi: 10.1177/2325967113518305. eCollection 2014 Jan.
3
Effect of tibial tunnel diameter on femoral tunnel placement in transtibial single bundle ACL reconstruction.
[Comparative study of I.D.E.A.L. technique and transtibial technique in anterior cruciate ligament reconstruction].
[前交叉韧带重建中IDEAL技术与经胫骨技术的比较研究]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2024 Aug 15;38(8):987-994. doi: 10.7507/1002-1892.202402029.
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Knee Surg Sports Traumatol Arthrosc. 2025 Feb;33(2):567-580. doi: 10.1002/ksa.12395. Epub 2024 Jul 31.
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The method of femoral tunnel drilling in anterior cruciate ligament reconstruction does not influence the return to sport rate.前交叉韧带重建术中股骨隧道钻孔方法不影响恢复运动率。
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胫骨隧道直径对经胫骨单束前交叉韧带重建中股骨隧道定位的影响。
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