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一种微创且简单的股四头肌肌腱表面移植取材技术。

A Minimally Invasive and Simple Technique of Superficial Quadriceps Tendon Graft Harvesting.

作者信息

Raman Rajeev, Mishra Bibhuti Nath, Sen Abhijit

机构信息

Department of Orthopaedics, Joint and Bone Care Hospital, Saltlake, Kolkata KPC Medical College, Jadavpur, Kolkata, India.

KPC Medical College, Jadavpur, Kolkata, India.

出版信息

Arthrosc Tech. 2022 Nov 18;11(12):e2347-e2355. doi: 10.1016/j.eats.2022.08.041. eCollection 2022 Dec.

DOI:10.1016/j.eats.2022.08.041
PMID:36632391
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9827123/
Abstract

Quadriceps tendon (QT) graft is a versatile graft for anterior and posterior cruciate ligament reconstruction. Advantages of quadriceps tendon autograft are the superior quality of graft, customization of graft size, reduced anterior knee pain, reduced risk of neurovascular injury, reduced incidence of arthrofibrosis compared to BPTB graft, preservation of ACL agonists, i.e., hamstrings, implantation of thicker graft and better patella mobility. Considering its advantages over other available autografts, its popularity is now increasing among surgeons. Conventionally, quadriceps tendon graft is harvested by an open technique, which produces an ugly scar and delays rehabilitation. In this article, we describe a minimally invasive technique of quadriceps tendon graft harvesting with a 2-2.5-cm vertical skin incision. Our technique does not require any specialized instrumentation, unlike other reported minimally invasive QT graft harvesting techniques, as we harvest the graft with a close tendon stripper.

摘要

股四头肌腱（QT）移植物是用于前交叉韧带和后交叉韧带重建的一种多功能移植物。股四头肌自体移植物的优点包括移植物质量 superior、移植物尺寸可定制、膝前疼痛减轻、神经血管损伤风险降低、与双束半腱肌移植物相比关节纤维化发生率降低、保留前交叉韧带激动剂（即腘绳肌）、可植入更厚的移植物以及髌骨活动度更好。鉴于其相对于其他可用自体移植物的优势，目前它在外科医生中的受欢迎程度正在增加。传统上，股四头肌移植物是通过开放技术获取的，这会产生难看的疤痕并延迟康复。在本文中，我们描述了一种采用2 - 2.5厘米垂直皮肤切口的股四头肌移植物微创获取技术。与其他报道的微创股四头肌移植物获取技术不同，我们的技术不需要任何专门的器械，因为我们使用闭合式肌腱剥离器获取移植物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c798/9827123/84f9272e3319/gr22.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c798/9827123/6c89d277da2d/gr13.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c798/9827123/84f9272e3319/gr22.jpg

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