Akhter Fauzan, Ayeni Olufemi, Almasri Mahmoud
Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
Arthrosc Tech. 2022 Apr 22;11(5):e875-e880. doi: 10.1016/j.eats.2022.01.005. eCollection 2022 May.
An anterior superior iliac spine avulsion (ASIS) is an injury that is induced by a rapid contraction of the sartorius and tensor fascia lata (TFL) muscles in the thigh. In this technique article, the ASIS is repaired by restoring normal length and tension to the sartorius muscle-tendon unit, which optimizes anatomic healing and function of the hip. We recommend a hybrid fixation strategy. This involved both a tape bridge construct and cannulated compression lag screw fixation. Countersinking the screw below the surface of the ASIS avoids hardware prominence and ensures an impingement-free range of motion. The tape-bridge construct reinforces the lag screw fixation, or can be used as the primary fixation method in the event the fragment is too small to accept a screw. This hybrid technique (tape bridge construct and cannulated screw fixation) is a safe and dependable method of surgically repairing the ASIS, allowing for early mobilization and weight bearing.
髂前上棘撕脱伤（ASIS）是一种由大腿中缝匠肌和阔筋膜张肌（TFL）快速收缩引起的损伤。在这篇技术文章中，通过恢复缝匠肌腱单元的正常长度和张力来修复ASIS，从而优化髋关节的解剖愈合和功能。我们推荐一种混合固定策略。这包括带桥结构和空心加压拉力螺钉固定。将螺钉埋头于ASIS表面以下可避免硬件突出，并确保无撞击的活动范围。带桥结构加强了拉力螺钉固定，或者在碎片太小无法容纳螺钉的情况下可作为主要固定方法。这种混合技术（带桥结构和空心螺钉固定）是手术修复ASIS的一种安全可靠的方法，允许早期活动和负重。
