Smeltzer Katie, Meyers Amy, Nelson Ryan
Ascension Genesys Hospital, Grand Blanc, Michigan, U.S.A.
Greater Michigan Orthopedics, Grand Blanc, Michigan, U.S.A.
Arthrosc Tech. 2023 May 22;12(5):e745-e750. doi: 10.1016/j.eats.2023.02.002. eCollection 2023 May.
Anterior cruciate ligament (ACL) tears in pediatric patients pose distinct challenges in management, especially in patients with open distal femoral and proximal tibial physes. There are a variety of contemporary reconstruction techniques that attempt to address these challenges. However, with the resurgence of ACL repair in the adult population, it has become apparent that the pediatric patient may also benefit from primary ACL repair rather than reconstruction. ACL repair is a procedure performed to treat ACL tears that avoids the donor-site morbidity seen with ACL reconstruction using autograft. We describe a surgical technique involving FiberRing sutures (Arthrex, Naples, FL) and TightRope-internal brace fixation (Arthrex) for ACL repair with all-epiphyseal fixation in the pediatric patient. The FiberRing is a knotless, tensionable suture device that can be used to stitch the torn ACL and coupled with the TightRope and internal brace to fix the ACL.
小儿患者的前交叉韧带（ACL）撕裂在治疗上面临独特挑战，尤其是对于股骨远端和胫骨近端骨骺开放的患者。目前有多种现代重建技术试图应对这些挑战。然而，随着成人ACL修复手术的再度兴起，显然小儿患者也可能从初次ACL修复而非重建中获益。ACL修复是一种用于治疗ACL撕裂的手术，可避免使用自体移植物进行ACL重建时出现的供区并发症。我们描述了一种手术技术，该技术涉及使用FiberRing缝线（Arthrex，那不勒斯，佛罗里达州）和TightRope内置支具固定（Arthrex），用于小儿患者全骨骺固定的ACL修复。FiberRing是一种无结、可张紧的缝线装置，可用于缝合撕裂的ACL，并与TightRope和内置支具相结合以固定ACL。
