Hartwell Matthew J, Goldberg Daniel B, Moulton Samuel G, Zhang Alan L
Department of Orthopaedic Surgery, University of California-San Francisco, San Francisco, California, U.S.A.
Arthrosc Tech. 2023 Mar 27;12(4):e575-e582. doi: 10.1016/j.eats.2022.12.012. eCollection 2023 Apr.
Many techniques have been described for posterior cruciate ligament (PCL) reconstruction, but residual laxity remains an ongoing challenge. Suture or tape augmentation during ligament reconstruction has become a popular option to prevent graft elongation but comes at the expense of additional costs due to implants for augment fixation, and concern for stress shielding of the graft if the augment and graft are not equally tensioned. We introduce a technique for postless tape augmentation during allograft PCL reconstruction that allows for equal tensioning of graft and augment through the use of a sheath and screw construct without the need for additional implants for augment fixation.
已经描述了许多用于后交叉韧带（PCL）重建的技术，但残余松弛仍然是一个持续存在的挑战。韧带重建过程中的缝线或带增强术已成为防止移植物伸长的常用选择，但由于用于增强固定的植入物而增加了额外成本，并且如果增强物和移植物的张力不均，则会担心移植物的应力遮挡。我们介绍了一种在同种异体PCL重建过程中进行无钉带增强的技术，该技术通过使用护套和螺钉结构，无需额外的增强固定植入物，即可实现移植物和增强物的均匀张力。
