Ramos Leonardo Addêo, Ciancio Bruno Asprino, Barbosa Marcelo Alves, Miyashita Gustavo Kenzo, Yamashita Jorge Liozi
Department of Orthopedics and Traumatology, UNIFESP, São Paulo-SP Brazil.
Knee Surgery Group at NipoBrasileiro Hospital, São Paulo, São Paulo, Brazil.
Arthrosc Tech. 2021 Nov 29;10(12):e2789-e2795. doi: 10.1016/j.eats.2021.08.016. eCollection 2021 Dec.
Injury to the medial compartment of the knee is the most common ligament injury to this joint. The medial approach must consider the presence of associated anteromedial instability. Untreated injury of these instabilities can result in failure of the other reconstructed ligaments. As treatment is usually associated with other ligaments, it is relevant that the technique could save grafts and synthetic material. This article aims to describe a technique for the treatment of anteromedial instabilities through semimembranosus tendon tenodesis in a more anterior and distal position, promoting the tensioning of the posteromedial structures.
膝关节内侧间室损伤是该关节最常见的韧带损伤。内侧入路必须考虑合并存在的前内侧不稳定情况。这些不稳定情况若未经治疗,可能导致其他重建韧带失效。由于治疗通常与其他韧带相关,该技术能够节省移植物和合成材料就显得很重要。本文旨在描述一种通过在更靠前和靠下的位置进行半膜肌腱固定术来治疗前内侧不稳定的技术,从而促进后内侧结构的张力。