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采用带蒂绳肌腱移植物进行前交叉韧带和前外侧韧带重建，单股股薄肌用于前外侧韧带重建及单盲股骨隧道技术

Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction With Pedicular Hamstrings Tendon Graft, Single-Strand Gracilis for ALL and Single Blind Femoral Tunnel.

作者信息

Noailles Thibaut, Toanen Cécile, Geffroy Loïc, Lopes Ronny, Hardy Alexandre

机构信息

Département de Chirurgie Orthopédique, Polyclinique de Bordeaux Nord, Bordeaux, France.

Service de Chirurgie Orthopédique, Centre Hospitalier Départemental Vendée, La Roche-sur-Yon, France.

出版信息

Arthrosc Tech. 2023 Jun 19;12(7):e1145-e1154. doi: 10.1016/j.eats.2023.03.003. eCollection 2023 Jul.

DOI:10.1016/j.eats.2023.03.003
PMID:37533915
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10390882/
Abstract

Combined anterior cruciate ligament and anterolateral ligament reconstruction (ACL+ALL r) is a common procedure to treat rotational instability and to prevent ACL graft failure. Recent studies have described numerous combined reconstruction techniques to obtain the most anatomical procedure with the least graft donor site morbidity and the best clinical results. Hamstring (HG) grafts are the most popular graft in literature. Leaving pedicle HG can preserve enough blood supply to improve tendon-bone healing with additional mechanical fixation of the graft on the tibial side. A single femoral tunnel reduces bone loss and prevents convergence of 2 femoral tunnels. We describe an original ACL and ALL reconstruction technique that preserves hamstring tibial insertion with a single blind femoral tunnel.

摘要

联合前交叉韧带和前外侧韧带重建术（ACL+ALL r）是治疗旋转不稳和预防ACL移植物失败的常见手术。最近的研究描述了多种联合重建技术，以获得解剖结构最合理、移植物供区并发症最少且临床效果最佳的手术。在文献中，腘绳肌腱（HG）移植物是最常用的移植物。保留带蒂HG可保留足够的血供，通过在胫骨侧对移植物进行额外的机械固定来改善腱骨愈合。单个股骨隧道可减少骨质流失并防止两个股骨隧道汇聚。我们描述了一种原始的ACL和ALL重建技术，该技术通过单个盲视股骨隧道保留腘绳肌腱在胫骨的附着点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/54ad908a54da/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/849a05263de9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/01690bb84857/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/449989db71f2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/1f7c0f2ea438/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/d30128e22d55/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/b7ace00e8658/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/2b7fa86ae1af/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/bf83786ae6b3/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/6814cdcf77b5/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/35aba7cd60d7/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/e33a2a653cbb/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/7326058811d5/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/54ad908a54da/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/849a05263de9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/01690bb84857/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/449989db71f2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/1f7c0f2ea438/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/d30128e22d55/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/b7ace00e8658/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/2b7fa86ae1af/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/bf83786ae6b3/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/6814cdcf77b5/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/35aba7cd60d7/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/e33a2a653cbb/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/7326058811d5/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751e/10390882/54ad908a54da/gr13.jpg

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