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使用阔筋膜移植并辅以纤维带增强进行前交叉韧带重建

Anterior Cruciate Ligament Reconstruction Using a Fascia Lata Graft With FiberTape Augmentation.

作者信息

Weninger Patrick, Steffel Caterina, Rabel Stefan, Karimi Ramin, Feichtinger Xaver

机构信息

Sports Medical Center, Vienna, Austria.

Döbling Private Hospital, Vienna, Austria.

出版信息

Arthrosc Tech. 2022 Dec 21;12(1):e127-e133. doi: 10.1016/j.eats.2022.09.002. eCollection 2023 Jan.

DOI:10.1016/j.eats.2022.09.002
PMID:36814977
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9939742/
Abstract

Reconstruction of the anterior cruciate ligament (ACL) is one of the most popular orthopedic surgical procedures. To date, numerous studies are available focusing on different reconstruction techniques using established autografts, such as hamstrings, bone patellar-tendon bone (BPTB), quadriceps tendon, or allograft tendons. In the present article, we describe a minimally invasive ACL reconstruction technique using a fascia lata autograft in combination with FiberTape (Arthrex, Naples, FL) augmentation using the TightRope II (Arthrex). The minimally invasive harvesting procedure is performed by using the new QuadPro Tendon Harvester (Arthrex). This technique is recommended for acute and chronic complete ACL ruptures or bundle ruptures in athletes or patients with high physical activity. The technique might allow early full weight bearing due to less donor site morbidity, early free range of motion, and early active rehabilitation due to the use of FiberTape as a augmentation device to reinforce the autograft. Clinical studies are necessary to prove the principle.

摘要

前交叉韧带（ACL）重建是最常见的骨科手术之一。迄今为止，已有大量研究聚焦于使用既定自体移植物（如腘绳肌腱、骨-髌腱-骨（BPTB）、股四头肌肌腱或同种异体肌腱）的不同重建技术。在本文中，我们描述了一种微创ACL重建技术，该技术使用阔筋膜自体移植物并结合使用TightRope II（Arthrex公司，佛罗里达州那不勒斯）的FiberTape（Arthrex公司，佛罗里达州那不勒斯）进行增强。微创取材手术使用新型QuadPro肌腱取材器（Arthrex公司）进行。该技术推荐用于运动员或高体力活动患者的急性和慢性完全ACL断裂或束状断裂。由于供区并发症较少、早期活动范围不受限以及使用FiberTape作为增强装置来加强自体移植物从而可进行早期主动康复，该技术可能允许早期完全负重。需要进行临床研究来验证这一原理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/f85347dd9eee/gr12.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/6157a9377458/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/0bb2c219d6ba/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/f85347dd9eee/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/f5f8477e82c3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/c23225a40fd3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/f3a2dfe30d52/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/b022fd6fc1c6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/2c401bffbfd1/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/b424b64acbdb/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/ef57fdce0275/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/072943de1ff8/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/e19a0f955634/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/6157a9377458/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/0bb2c219d6ba/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/9939742/f85347dd9eee/gr12.jpg

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