Monaco Edoardo, Cantagalli Matteo Romano, Daggett Matt, Carrozzo Alessandro, Annibaldi Alessandro, Criseo Natale, Labianca Luca, Ferretti Andrea
Sant'Andrea University Hospital, La Sapienza University of Rome, Rome, Italy.
Arthrosc Tech. 2024 Jan 1;13(2):102843. doi: 10.1016/j.eats.2023.09.018. eCollection 2024 Feb.
Anterior cruciate ligament (ACL) injuries among young patients have increased in recent years. The purpose of this study was to present a physeal-sparing intra- and extra-articular reconstruction using semitendinosus and gracilis tendons autograft. In recent years, the management of these injuries in the pediatric population has become increasingly surgical to restore knee function and reduce the risk of meniscal and chondral injury due to persistent knee instability. However, this is a population at high risk for ACL graft rupture, but it can be lowered by an addition of lateral extra-articular tenodesis (LET). This study shows the pearls and pitfalls of an arthroscopic physeal-sparing ACL reconstruction combined with a concomitant LET using hamstrings autograft.
近年来，年轻患者的前交叉韧带（ACL）损伤有所增加。本研究的目的是介绍一种使用半腱肌和股薄肌腱自体移植进行保留骨骺的关节内和关节外重建方法。近年来，儿科人群中这些损伤的治疗越来越倾向于手术治疗，以恢复膝关节功能，并降低因膝关节持续不稳定导致半月板和软骨损伤的风险。然而，这一人群发生ACL移植物破裂的风险较高，但通过增加外侧关节外肌腱固定术（LET）可降低该风险。本研究展示了关节镜下保留骨骺的ACL重建联合使用腘绳肌自体移植进行LET的要点与难点。
