编者按：前交叉韧带重建移植物失败的首要原因是股骨隧道位置不当：推荐采用过顶技术加外侧关节外肌腱固定术。
Editorial Commentary: The Number One Cause of Anterior Cruciate Ligament Reconstruction Graft Failure Is a Misplaced Femoral Tunnel: Over-the-Top Technique Plus Lateral Extra-Articular Tenodesis Is Recommended.
作者信息
Lucidi Gian Andrea, Roberti di Sarsina Tommaso, Zaffagnini Stefano
机构信息
IIa Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Reconstructive Orthopaedic Surgery and Innovative Techniques-Musculoskeletal Tissue Bank, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
出版信息
Arthroscopy. 2024 Feb;40(2):435-437. doi: 10.1016/j.arthro.2023.07.021.
Patient factors (notably high tibial slope and narrow femoral intercondylar notch width) and surgical factors (including meniscus treatment and anterior cruciate ligament [ACL] tunnel position) contribute to ACL reconstruction failure. The number one cause of failure is a misplaced ACL femoral tunnel. Tunnel malposition leads to a higher incidence of postoperative meniscal lesions, inferior clinical outcomes, and higher revision rates.
患者因素（尤其是胫骨坡度高和股骨髁间切迹宽度窄）和手术因素（包括半月板处理和前交叉韧带[ACL]隧道位置）会导致ACL重建失败。失败的首要原因是ACL股骨隧道位置不当。隧道位置不当会导致术后半月板损伤的发生率更高、临床结果较差以及翻修率更高。
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