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使用简易阴道窥器获取股四头肌腱自体移植物进行前交叉韧带重建术,避免在采集过程中出现任何潜在的陷阱:技术说明。

The Use of a Simple Vaginal Speculum to Harvest Quadriceps Tendon Autografts for Anterior Cruciate Ligament Reconstruction and Avoid Any Potential Pitfalls during Harvesting Procedure: Technical note.

机构信息

Department of Orthopaedic Surgery - Sports Trauma Unit, St. Luke's Hospital, Thessaloniki, Greece.

出版信息

Sultan Qaboos Univ Med J. 2024 May;24(2):268-271. doi: 10.18295/squmj.3.2024.016. Epub 2024 May 27.

DOI:10.18295/squmj.3.2024.016
PMID:38828237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11139358/
Abstract

This technical note aimed to present a straigthforward method for harvesting quadriceps tendon autografts with the use of a simple vaginal speculum and direct visualisation of a scope. Anterior cruciate ligament reconstruction with quadriceps tendon autografts has gained popularity in recent years, with many harvesting techniques that use different harvesting systems available on the market. These techniques vary from transverse to longitudinal skin incisions and from open to minimally invasive approaches and have a learning curve, as with the majority of surgical procedures. The technique proposed in this technical note is minimally invasive, can be easily reproduced by any surgeon irrespective of their experience, has a short learning curve, requires no additional cost or technical support during the procedure and creates a stable working space that allows for freedom of manipulation of surgical instruments and the arthroscope.

摘要

本技术说明旨在介绍一种使用简单阴道窥器和直接可视化镜的直截了当的方法来收获四头肌腱自体移植物。近年来,使用四头肌腱自体移植物进行前交叉韧带重建已变得越来越流行,市场上有许多不同的收获系统可供选择。这些技术从横向到纵向皮肤切口,从开放式到微创式,都有一个学习曲线,就像大多数手术一样。本技术说明中提出的技术是微创的,任何经验的外科医生都可以轻松复制,学习曲线短,在手术过程中不需要额外的成本或技术支持,并且创造了一个稳定的工作空间,允许手术器械和关节镜的自由操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a003/11139358/f987b4f8069c/squmj2405-268-271f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a003/11139358/6d60d4517418/squmj2405-268-271f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a003/11139358/683e103ced66/squmj2405-268-271f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a003/11139358/f987b4f8069c/squmj2405-268-271f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a003/11139358/6d60d4517418/squmj2405-268-271f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a003/11139358/683e103ced66/squmj2405-268-271f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a003/11139358/f987b4f8069c/squmj2405-268-271f3.jpg

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本文引用的文献

1
A Minimally Invasive and Simple Technique of Superficial Quadriceps Tendon Graft Harvesting.一种微创且简单的股四头肌肌腱表面移植取材技术。
Arthrosc Tech. 2022 Nov 18;11(12):e2347-e2355. doi: 10.1016/j.eats.2022.08.041. eCollection 2022 Dec.
2
Quadriceps Tendon-Bone Full-Thickness Autograft: Reproducible and Easy Harvesting Technique Using Simple Surgical Tools.股四头肌肌腱-骨全层自体移植:使用简单手术工具的可重复且易于获取的技术
Arthrosc Tech. 2021 Mar 18;10(4):e1165-e1172. doi: 10.1016/j.eats.2021.01.003. eCollection 2021 Apr.
3
Minimally invasive harvesting of the quadriceps tendon: Technical note.
微创髌腱采集术:技术说明。
Orthop Traumatol Surg Res. 2021 Apr;107(2):102819. doi: 10.1016/j.otsr.2021.102819. Epub 2021 Jan 23.
4
Open Full-Thickness Quadriceps Tendon Autograft Harvest With Repair for Anterior Cruciate Ligament Reconstruction.采用开放全层股四头肌腱自体移植修复术进行前交叉韧带重建
Arthrosc Tech. 2020 Sep 15;9(10):e1459-e1465. doi: 10.1016/j.eats.2020.06.006. eCollection 2020 Oct.
5
Low surgical routine increases revision rates after quadriceps tendon autograft for anterior cruciate ligament reconstruction: results from the Danish Knee Ligament Reconstruction Registry.低手术常规会增加前交叉韧带重建中使用四头肌肌腱自体移植物后的翻修率:来自丹麦膝关节韧带重建登记处的结果。
Knee Surg Sports Traumatol Arthrosc. 2021 Jun;29(6):1880-1886. doi: 10.1007/s00167-020-06220-0. Epub 2020 Sep 4.
6
Quadriceps tendon anterior cruciate ligament reconstruction.股四头肌腱前交叉韧带重建。
Knee Surg Sports Traumatol Arthrosc. 2020 Aug;28(8):2644-2656. doi: 10.1007/s00167-020-05902-z. Epub 2020 Feb 18.
7
Quadriceps tendon autograft for anterior cruciate ligament reconstruction is associated with high revision rates: results from the Danish Knee Ligament Registry.前交叉韧带重建中使用四头肌腱自体移植物与高翻修率相关:来自丹麦膝关节韧带登记处的数据。
Knee Surg Sports Traumatol Arthrosc. 2020 Jul;28(7):2163-2169. doi: 10.1007/s00167-019-05751-5. Epub 2019 Oct 22.
8
Quadriceps Tendon Autograft in Anterior Cruciate Ligament Reconstruction: A Systematic Review.前交叉韧带重建中四头肌腱自体移植物:系统评价。
Arthroscopy. 2018 May;34(5):1690-1698. doi: 10.1016/j.arthro.2018.01.046. Epub 2018 Apr 5.
9
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Arthrosc Tech. 2015 Dec 23;4(6):e841-5. doi: 10.1016/j.eats.2015.08.004. eCollection 2015 Dec.
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Minimally invasive harvest of a quadriceps tendon graft with or without a bone block.带或不带骨块的股四头肌肌腱移植物的微创获取
Arthrosc Tech. 2014 Aug 11;3(4):e509-13. doi: 10.1016/j.eats.2014.06.003. eCollection 2014 Aug.