Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul 02841, Korea.
Medicina (Kaunas). 2022 Jul 13;58(7):929. doi: 10.3390/medicina58070929.
Clinical outcomes after anterior cruciate ligament reconstruction (ACLR) have improved remarkably. However, residual rotational instability of the knee joint remains a major concern. The anterolateral ligament (ALL) has recently gained interest as a secondary stabilizer of knee joint rotatory instability, and this has led to the attempt of ALL reconstruction (ALLR) in combination with ACLR to restore rotational stability in patients with anterior cruciate ligament (ACL) injury. Although several techniques for ALLR have recently been introduced, the ideal graft type and surgical technique for combined ACLR and ALLR are yet to be established. This technical note therefore aimed at introducing a novel surgical procedure involving the use of a single Achilles tendon allograft as a relatively simple and minimally invasive procedure for combined ALL and ACL reconstruction.
前交叉韧带重建 (ACLR) 后的临床结果有了显著改善。然而，膝关节的残余旋转不稳定仍然是一个主要关注点。前外侧韧带 (ALL) 最近作为膝关节旋转不稳定的次要稳定器引起了关注，这导致尝试在 ACL 损伤患者中进行 ALL 重建 (ALLR) 以恢复旋转稳定性。尽管最近已经引入了几种 ALLR 技术，但用于 ACLR 和 ALLR 联合的理想移植物类型和手术技术仍有待确定。因此，本技术说明旨在介绍一种新的手术程序，涉及使用单个跟腱同种异体移植物作为一种相对简单和微创的联合 ALL 和 ACL 重建方法。
