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镜像前外侧韧带：一种使用股薄肌联合四股半腱肌重建深层内侧副韧带以进行前交叉韧带重建的简单技术。

The Mirror Anterolateral Ligament: A Simple Technique to Reconstruct the Deep Medial Collateral Ligament Using the Gracilis Associated With a Four-Strand Semitendinosus for Anterior Cruciate Ligament Reconstruction.

作者信息

Daxhelet Jérémy, Bouguennec Nicolas, Graveleau Nicolas

机构信息

Sports Clinic of Bordeaux-Merignac, Merignac, France.

出版信息

Arthrosc Tech. 2022 Jul 14;11(8):e1419-e1424. doi: 10.1016/j.eats.2022.03.030. eCollection 2022 Aug.

DOI:10.1016/j.eats.2022.03.030
PMID:36061457
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9437466/
Abstract

We present a surgical technique to reconstruct the deep portion of the medial collateral ligament (MCL) when associated with an injury of the anterior cruciate ligament (ACL). Patients could benefit from this procedure in cases of ACL reconstruction and persistent laxity at 20° of flexion of the MCL without any laxity in extension. This surgery uses the gracilis to reconstruct the deep portion of the MCL in the same manner described for the anterolateral ligament on the other side of the knee. The procedure is performed percutaneously, graft and tunnels are independent from the ACL, a screw is used on the femoral side, and a cortical device is used on the tibial side.

摘要

我们提出一种手术技术，用于在前交叉韧带（ACL）损伤合并内侧副韧带（MCL）深层损伤时进行重建。对于ACL重建且MCL在屈膝20°时持续松弛而伸直时无松弛的病例，患者可从该手术中获益。此手术采用股薄肌以与膝关节另一侧前外侧韧带相同的方式重建MCL深层。该手术经皮进行，移植物和隧道与ACL无关，股骨侧使用螺钉，胫骨侧使用皮质装置。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/89e4518ccbe8/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/8066ae8bbcbf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/9d33cad2f8fa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/edf0149974d3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/e95833685124/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/d6c590fed2c8/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/063a5ea96f99/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/cd428dd87dda/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/89e4518ccbe8/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/8066ae8bbcbf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/9d33cad2f8fa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/edf0149974d3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/e95833685124/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/d6c590fed2c8/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/063a5ea96f99/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/cd428dd87dda/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e079/9437466/89e4518ccbe8/gr8.jpg

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Arthrosc Tech. 2022 Feb 8;11(3):e291-e300. doi: 10.1016/j.eats.2021.10.019. eCollection 2022 Mar.
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Medial Collateral Ligament Reconstruction With Dual Adjustable-Loop Suspensory Fixation: A Technique Guide.双可调环悬吊固定法重建内侧副韧带：技术指南
Arthrosc Tech. 2021 Feb 2;10(3):e621-e628. doi: 10.1016/j.eats.2020.10.049. eCollection 2021 Mar.
3
High incidence of superficial and deep medial collateral ligament injuries in 'isolated' anterior cruciate ligament ruptures: a long overlooked injury.
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Am J Sports Med. 2024 May;52(6):1505-1513. doi: 10.1177/03635465241235858. Epub 2024 Mar 29.
“孤立”前交叉韧带撕裂中深层及浅层内侧副韧带损伤的高发率：一种长期被忽视的损伤。
Knee Surg Sports Traumatol Arthrosc. 2022 Jan;30(1):167-175. doi: 10.1007/s00167-021-06514-x. Epub 2021 Mar 4.
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The posteromedial corner of the knee: an international expert consensus statement on diagnosis, classification, treatment, and rehabilitation.膝关节后内侧角：诊断、分类、治疗和康复的国际专家共识声明。
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