Al'Khafaji Ian, Devitt Brian M, Feller Julian A
Core Institute, Phoenix, Arizona, U.S.A.
Orthosport Victoria, Melbourne, Victoria, Australia.
Arthrosc Tech. 2022 Jan 23;11(2):e257-e262. doi: 10.1016/j.eats.2021.10.016. eCollection 2022 Feb.
Lateral extra-articular augmentation (LEA) of anterior cruciate ligament reconstructions significantly reduces graft failure rates. Currently, proximally fixed LEA procedures are popular techniques. However, there are concerns about these techniques regarding anterior cruciate ligament tunnel collision, kinematic overconstraint, and increasing lateral-compartment contact forces. These issues are potentially avoided by the modified Ellison procedure, which is a distally fixed LEA technique. This article describes the surgical details of this easily reproducible technique.
前交叉韧带重建的外侧关节外增强术(LEA)可显著降低移植物失败率。目前,近端固定的LEA手术是常用技术。然而,这些技术存在前交叉韧带隧道碰撞、运动学过度约束以及增加外侧间室接触力等问题。改良的埃里森手术作为一种远端固定的LEA技术,有可能避免这些问题。本文描述了这种易于重复操作的技术的手术细节。