Service de chirurgie orthopédique, CHU de Pitié-Salpêtrière, 83, boulevard de l'Hôpital, 75013 Paris, France.
Clinique du sport, 36, boulevard Saint-Marcel, 75005 Paris, France.
Orthop Traumatol Surg Res. 2022 Dec;108(8):103412. doi: 10.1016/j.otsr.2022.103412. Epub 2022 Sep 21.
While anterior cruciate ligament reconstruction using the iliotibial band is not a new technique, it still remains underdeveloped. The iliotibial band has historically been described as a thin and less resistant structure. Its harvesting has been associated with a risk of complications (hematoma, muscle hernia) and its small graft diameter increases the risk of rerupture. The addition of the gracilis tendon could potentially produce a graft with an increased diameter. In this technical note, we present a modification to the traditional technique performed on 50 patients, describing the surgical steps, graft diameter, clinical outcomes and complications at the 2-year follow-up. The mean graft diameter was 8.9±0.9 mm at the femur and 7.7±0.7 mm at the tibia. No rerupture was reported at the 2-year follow-up. LEVEL OF EVIDENCE: IV.
虽然使用阔筋膜张肌重建前交叉韧带并不是一种新技术，但它仍然不够成熟。阔筋膜张肌在历史上被描述为一种薄而阻力较小的结构。其采集与并发症（血肿、肌肉疝）的风险相关，并且其小移植物直径增加了再断裂的风险。加用股薄肌腱可能会产生直径更大的移植物。在本技术说明中，我们对 50 例患者进行的传统技术进行了改良，描述了手术步骤、移植物直径、临床结果和 2 年随访时的并发症。股骨处移植物的平均直径为 8.9±0.9mm，胫骨处为 7.7±0.7mm。在 2 年的随访中，没有报告再断裂。证据水平：IV。
