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采用共同的股骨悬吊固定法进行前交叉韧带重建及改良勒梅尔腱固定术。

ACL Reconstruction and Modified Lemaire Tenodesis Utilizing Common Suspensory Femoral Fixation.

作者信息

Koukoulias Nikolaos E, Dimitriadis Theofilos, Vasiliadis Angelo V, Germanou Evangelia, Boutovinos Alexandros-Panagiotis

机构信息

Sports Trauma and Orthopaedics Department, St Luke's Hospital, Thessaloniki, Greece.

出版信息

Arthrosc Tech. 2022 Nov 17;11(12):e2185-e2193. doi: 10.1016/j.eats.2022.08.020. eCollection 2022 Dec.

DOI:10.1016/j.eats.2022.08.020
PMID:36632409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9826977/
Abstract

Persistent rotatory instability after anterior cruciate ligament (ACL) reconstruction has been well studied and recognized as the cause of unsatisfactory clinical results. Various anterolateral techniques have been described as an adjunct to the ACL reconstruction to improve clinical outcomes. Modified deep Lemaire lateral extra-articular tenodesis has been tested both biomechanically and clinically and proved an efficient solution in controlling tibia internal rotation, when performed in conjunction with ACL reconstruction. We describe a simple, versatile, effective, and reproducible technique of lateral extra-articular tenodesis, using common suspensory femoral fixation, with no additional cost and surgical risk.

摘要

前交叉韧带（ACL）重建术后持续旋转不稳定已得到充分研究，并被认为是临床效果不理想的原因。各种前外侧技术已被描述为ACL重建的辅助手段，以改善临床结果。改良的深层勒梅尔外侧关节外腱固定术已在生物力学和临床方面进行了测试，并证明在与ACL重建联合进行时，是控制胫骨内旋的有效方法。我们描述了一种简单、通用、有效且可重复的外侧关节外腱固定技术，使用常见的悬吊股骨固定，无需额外费用和手术风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/e9b75f9112a5/gr15.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/49a07fa5caef/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/375b383b4cdf/gr7.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/bdc04979b426/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/5aa111b89312/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/20daf6dc4c4f/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/4f15bbaf812f/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/a7a5a8ea2674/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/5954c5c2fef7/gr16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/e9b75f9112a5/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/daca277fe02e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/5b2fd2df027c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/907a8b7ddb7a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/121b6b9b92e1/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/66ad6a427fb9/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/49a07fa5caef/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/375b383b4cdf/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/d201f4b00cd9/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/98b3291a9e85/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/bdc04979b426/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/5aa111b89312/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/20daf6dc4c4f/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/4f15bbaf812f/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/a7a5a8ea2674/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/5954c5c2fef7/gr16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e6/9826977/e9b75f9112a5/gr15.jpg

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Arthrosc Tech. 2022 Mar 16;11(4):e511-e516. doi: 10.1016/j.eats.2021.11.024. eCollection 2022 Apr.
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