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三联杂交胫骨前交叉韧带移植固定术

Triple Hybrid Tibial Anterior Cruciate Ligament Graft Fixation.

作者信息

Runer Armin, Hax Jakob, Gelber Pablo, Stadelmann Vincent A, Preiss Stefan, Salzmann Gian

机构信息

Department of Sports Orthopaedics, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.

Departments of Hip and Knee Surgery, Schulthess Klinik, Zürich, Switzerland.

出版信息

Arthrosc Tech. 2023 Nov 27;12(12):e2375-e2379. doi: 10.1016/j.eats.2023.08.009. eCollection 2023 Dec.

DOI:10.1016/j.eats.2023.08.009
PMID:38196858
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10773257/
Abstract

Optimal graft fixation in anterior cruciate ligament reconstruction is critical. Several direct and indirect methods of graft fixation exist, each with advantages and disadvantages. This Technical Note describes a tibial hybrid anterior cruciate ligament graft fixation technique combining direct and indirect fixation methods, including autologous bone augmentation of the drill tunnel using cancellous bone fragments.

摘要

前交叉韧带重建术中的最佳移植物固定至关重要。目前存在几种直接和间接的移植物固定方法，每种方法都有其优缺点。本技术说明描述了一种将直接和间接固定方法相结合的胫骨混合前交叉韧带移植物固定技术，包括使用松质骨碎片对钻孔隧道进行自体骨增强。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/631e/10773257/fb35c51d070f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/631e/10773257/db2b8ea8a16a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/631e/10773257/f665af2be88d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/631e/10773257/ce43821469dc/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/631e/10773257/fb35c51d070f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/631e/10773257/db2b8ea8a16a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/631e/10773257/f665af2be88d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/631e/10773257/ce43821469dc/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/631e/10773257/fb35c51d070f/gr4.jpg

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本文引用的文献

1
Femoral fixation methods for hamstring graft in anterior cruciate ligament reconstruction: A network meta-analysis of controlled clinical trials.前交叉韧带重建中腘绳肌腱移植物的股骨固定方法：基于对照临床试验的网络荟萃分析。
PLoS One. 2022 Sep 22;17(9):e0275097. doi: 10.1371/journal.pone.0275097. eCollection 2022.
2
Novel press-fit technique of patellar bone plug in anterior cruciate ligament reconstruction is comparable to interference screw fixation.前交叉韧带重建术中髌骨骨栓的新型压配技术与干扰螺钉固定相当。
Arch Orthop Trauma Surg. 2022 Aug;142(8):1963-1970. doi: 10.1007/s00402-021-04137-y. Epub 2021 Aug 30.
3
Press-fit fixation in anterior cruciate ligament reconstruction yields low graft failure and revision rates: a systematic review and meta-analysis.
压配固定在前交叉韧带重建中可降低移植物失败和翻修率：系统评价和荟萃分析。
Knee Surg Sports Traumatol Arthrosc. 2021 Jun;29(6):1750-1759. doi: 10.1007/s00167-020-06173-4. Epub 2020 Aug 12.
4
Is all-inside with suspensory cortical button fixation a superior technique for anterior cruciate ligament reconstruction surgery? A systematic review and meta-analysis.采用带袢钢板皮质纽扣全内置固定技术进行前交叉韧带重建手术是否为更优术式？一项系统评价与Meta分析。
BMC Musculoskelet Disord. 2020 Jul 7;21(1):445. doi: 10.1186/s12891-020-03471-3.
5
Quadriceps tendon vs. patellar tendon autograft for ACL reconstruction using a hardware-free press-fit fixation technique: comparable stability, function and return-to-sport level but less donor site morbidity in athletes after 10 years.采用免附接压配固定技术的 ACL 重建中使用四头肌腱与髌腱自体移植物：10 年后运动员在稳定性、功能和重返运动水平方面相当，但供体部位发病率较低。
Arch Orthop Trauma Surg. 2020 Oct;140(10):1465-1474. doi: 10.1007/s00402-020-03508-1. Epub 2020 Jun 5.
6
Bone-Patellar Tendon-Bone Autografts Versus Hamstring Autografts Using the Same Suspensory Fixations in ACL Reconstruction: A Systematic Review and Meta-analysis.在 ACL 重建中使用相同悬吊固定方式的骨-髌腱-骨自体移植物与腘绳肌自体移植物的比较：一项系统评价和荟萃分析
Orthop J Sports Med. 2019 Nov 27;7(11):2325967119885314. doi: 10.1177/2325967119885314. eCollection 2019 Nov.
7
No difference in outcomes between femoral fixation methods with hamstring autograft in anterior cruciate ligament reconstruction - A network meta-analysis.前交叉韧带重建中使用自体腘绳肌腱进行股骨固定方法的疗效无差异——一项网状Meta分析。
Knee. 2019 Mar;26(2):292-301. doi: 10.1016/j.knee.2019.01.015. Epub 2019 Feb 14.
8
Effect of Dynamic Changes in Anterior Cruciate Ligament In Situ Graft Force on the Biological Healing Response of the Graft-Tunnel Interface.前交叉韧带原位移植物力的动态变化对移植物-隧道界面的生物愈合反应的影响。
Am J Sports Med. 2018 Mar;46(4):915-923. doi: 10.1177/0363546517745624. Epub 2018 Jan 3.
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Tunnel widening after ACL reconstruction with aperture screw fixation or all-inside reconstruction with suspensory cortical button fixation: Volumetric measurements on CT and MRI scans.采用骨隧道扩大技术的前交叉韧带重建：使用带孔螺钉固定或采用悬吊皮质纽扣全内置重建：CT和MRI扫描的容积测量
Knee. 2017 Oct;24(5):1047-1054. doi: 10.1016/j.knee.2017.06.007. Epub 2017 Jul 10.
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Am J Sports Med. 2016 Nov;44(11):2838-2845. doi: 10.1177/0363546516656181. Epub 2016 Jul 29.