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使用四股半腱肌和股薄肌自体移植物进行全关节镜下前交叉韧带重建的技术

Technique for All-Inside Anterior Cruciate Ligament Reconstruction Using Quadrupled Semitendinosus and Gracilis Autograft.

作者信息

Lowenstein Natalie A, Altwies Madison E, Hoang Victor, Anthony Taylor, Matzkin Elizabeth G

机构信息

Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.

College of Osteopathic Medicine, Touro University Nevada, Henderson, Nevada, U.S.A.

出版信息

Arthrosc Tech. 2023 Jun 12;12(7):e1083-e1089. doi: 10.1016/j.eats.2023.02.046. eCollection 2023 Jul.

DOI:10.1016/j.eats.2023.02.046
PMID:37533919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10390822/
Abstract

Anterior cruciate ligament (ACL) injuries are common to athletes and non-athletes alike. Whereas the literature has historically supported bone-patellar tendon-bone as the gold standard for active patients who elect to undergo ACL reconstruction, other studies have suggested that soft-tissue grafts do not increase the risk of rerupture. Because graft diameter has a direct effect on revision rates, we share a technique for all-inside ACL reconstruction using quadrupled semitendinosus and gracilis autograft that allows for a predictable, robust graft. Reproducible steps of graft harvesting, tunnel preparation, graft passage, and fixation are shared to achieve a robust anatomic reconstruction.

摘要

前交叉韧带（ACL）损伤在运动员和非运动员中都很常见。尽管历史文献一直支持骨-髌腱-骨作为选择进行ACL重建的活跃患者的金标准，但其他研究表明，软组织移植物不会增加再次断裂的风险。由于移植物直径对翻修率有直接影响，我们分享一种使用四倍自体半腱肌和股薄肌进行全关节镜下ACL重建的技术，该技术可提供可预测的、坚固的移植物。文中还分享了移植物获取、隧道准备、移植物植入和固定的可重复步骤，以实现坚固的解剖重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/fae921405cbe/gr14.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/59dfcb1763ae/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/850f894b463e/gr4.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/dd7daf77d9b3/gr6.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/6af8b43b4d6d/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/eb59e0bfca6b/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/030ebf9b550e/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/029684eac58b/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/5c79a3ff87b1/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/fae921405cbe/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/6e231691eef2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/e143d5af3d41/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/59dfcb1763ae/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/850f894b463e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/32c6e84ed87e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/dd7daf77d9b3/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/ddc390cdd0b5/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/0aadf72f8f91/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/6af8b43b4d6d/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/eb59e0bfca6b/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/030ebf9b550e/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/029684eac58b/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/5c79a3ff87b1/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb5/10390822/fae921405cbe/gr14.jpg

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Arthroscopy. 2021 Oct;37(10):3140-3148. doi: 10.1016/j.arthro.2021.03.077. Epub 2021 Apr 20.
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