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用于前交叉韧带重建的跟腱同种异体纤维束移植制备技术

Achilles Allograft Fiber Track Graft Preparation Technique for Anterior Cruciate Ligament Reconstruction.

作者信息

Thiel Grace E, Puga Troy B, Perleberg Tyler D, Figuerres Benedict F, Dennis Jennifer F

机构信息

College of Osteopathic Medicine, Kansas City University, Kansas City, Missouri, U.S.A.

Department of Orthopedics and Sports Medicine, The University of Kansas Health System St. Francis Campus, Topeka, Kansas, U.S.A.

出版信息

Arthrosc Tech. 2024 Jan 1;13(2):102844. doi: 10.1016/j.eats.2023.09.019. eCollection 2024 Feb.

DOI:10.1016/j.eats.2023.09.019
PMID:38435240
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10907893/
Abstract

Anterior cruciate ligament rupture is a common orthopaedic injury, with reconstruction the treatment of choice for active individuals. Graft selection is an important consideration for surgical planning. Achilles tendon allograft is a graft choice most likely used in cases of revision anterior cruciate ligament reconstruction. This technical note discusses an approach to Achilles tendon allograft preparation that respects and follows the rotation of the fibers of the Achilles tendon. Key considerations in the use of this technique include (1) identifying the rotational fiber tracks, (2) performing careful dissection along the identified tracks of the fibers, and (3) ensuring an appropriate graft width based on patient size, all of which are crucial for the success of this unique technique. The preservation of the rotational fibers provided by this technique may have the potential to result in increased tensile strength and better clinical outcomes.

摘要

前交叉韧带断裂是一种常见的骨科损伤，对于活跃的个体，重建是首选的治疗方法。移植物的选择是手术规划中的一个重要考虑因素。跟腱同种异体移植物是翻修前交叉韧带重建病例中最可能使用的移植物选择。本技术说明讨论了一种跟腱同种异体移植物制备方法，该方法尊重并遵循跟腱纤维的旋转方向。使用该技术的关键考虑因素包括：（1）识别旋转纤维轨迹；（2）沿着识别出的纤维轨迹进行仔细解剖；（3）根据患者体型确保移植物宽度合适，所有这些对于这项独特技术的成功至关重要。通过该技术保留旋转纤维可能会提高拉伸强度并带来更好的临床效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/52c249aa1a5f/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/d52f7050ecc6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/392808469ede/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/358e4a892c4c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/23eaee25621f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/046a6ac4b798/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/c4d60a1585c9/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/9b5af523b50c/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/952188b66bb2/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/9d8118cfda71/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/be52c2d33df9/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/67d3b128dbc8/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/7ac8f8780211/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/e9e0f2fcf92c/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/52c249aa1a5f/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/d52f7050ecc6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/392808469ede/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/358e4a892c4c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/23eaee25621f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/046a6ac4b798/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/c4d60a1585c9/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/9b5af523b50c/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/952188b66bb2/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/9d8118cfda71/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/be52c2d33df9/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/67d3b128dbc8/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/7ac8f8780211/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/e9e0f2fcf92c/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b530/10907893/52c249aa1a5f/gr14.jpg

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