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经胫骨双束翻修前交叉韧带重建技术：采用自体-异体混合腘绳肌腱移植及联合外侧关节外肌腱固定术

Over-the-Top Double-Bundle Revision Anterior Cruciate Ligament Reconstruction Technique With Hybrid Hamstring Tendon Autograft-Allograft and Associated Lateral Extra-articular Tenodesis.

作者信息

Guo Jiang, Zhang Peng, Lv Maojiang, Chen Peng, Li Canfeng, Jiang Xiaocheng, Zhang Xintao

机构信息

Department of Sports Medicine and Rehabilitation, Peking University Shenzhen Hospital, Shenzhen City, China.

出版信息

Arthrosc Tech. 2024 Mar 22;13(5):102944. doi: 10.1016/j.eats.2024.102944. eCollection 2024 May.

DOI:10.1016/j.eats.2024.102944
PMID:38835449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11144845/
Abstract

Revision anterior cruciate ligament (ACL) presents many technical challenges that are not commonly seen in primary ACL reconstruction. The purpose of this article is to describe an alternative technique consisting of over-the-top double-bundle ACL revision combined with lateral extra-articular tenodesis using hybrid hamstring tendon autograft-allograft. This technique provides a valid treatment option in ACL revision surgery.

摘要

前交叉韧带（ACL）翻修术存在许多在初次ACL重建中不常见的技术挑战。本文的目的是描述一种替代技术，该技术包括经胫骨双束ACL翻修术联合使用自体-异体混合腘绳肌腱的外侧关节外肌腱固定术。该技术为ACL翻修手术提供了一种有效的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/8ecee6b04a62/gr9.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/dacd4eb0ac19/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/60af44c2ce1a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/9ebb59d8b2ff/gr5.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/d8ddfccd2f6b/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/978ab75fb378/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/8ecee6b04a62/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/518a4ce0c63e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/8715560484c3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/dacd4eb0ac19/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/60af44c2ce1a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/9ebb59d8b2ff/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/2b08acded65d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/d8ddfccd2f6b/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/978ab75fb378/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a72/11144845/8ecee6b04a62/gr9.jpg

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引用本文的文献

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本文引用的文献

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Rotational stability can be enhanced in revision anterior cruciate ligament reconstruction using the over-the-top augmentation technique compared to single bundle technique.与单束技术相比，采用过顶增强技术进行翻修前交叉韧带重建时，旋转稳定性可得到增强。
BMC Sports Sci Med Rehabil. 2023 Sep 15;15(1):111. doi: 10.1186/s13102-023-00724-1.
2
Management of anterior cruciate ligament revision in adults: the 2022 ESSKA consensus: part II-surgical strategy.成人前交叉韧带翻修的管理：2022 年 ESSKA 共识：第二部分-手术策略。
Knee Surg Sports Traumatol Arthrosc. 2023 Nov;31(11):4652-4661. doi: 10.1007/s00167-023-07550-5. Epub 2023 Sep 12.
3
Reconstruction of the anterior cruciate ligament: a historical view.
前交叉韧带重建：历史回顾。
Ann Transl Med. 2023 Aug 30;11(10):364. doi: 10.21037/atm-23-87. Epub 2023 Jun 19.
4
One-stage anterior cruciate ligament revision surgery after primary failed double-bundle reconstruction: a systematic review.一期前交叉韧带翻修术治疗初次失败的双束重建：系统评价。
Arch Orthop Trauma Surg. 2023 Dec;143(12):7115-7121. doi: 10.1007/s00402-023-05022-6. Epub 2023 Sep 5.
5
Technique for All-Inside Anterior Cruciate Ligament Reconstruction Using Quadrupled Semitendinosus and Gracilis Autograft.使用四股半腱肌和股薄肌自体移植物进行全关节镜下前交叉韧带重建的技术
Arthrosc Tech. 2023 Jun 12;12(7):e1083-e1089. doi: 10.1016/j.eats.2023.02.046. eCollection 2023 Jul.
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Biomechanical Analysis of Tibial Motion and ACL Graft Forces After ACLR With and Without LET at Varying Tibial Slopes.不同胫骨坡度下 ACLR 中有无 LET 对胫骨运动和 ACL 移植物受力的生物力学分析。
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The 25-year experience of over-the-top ACL reconstruction plus extra-articular lateral tenodesis with hamstring tendon grafts: the story so far.采用腘绳肌腱移植物进行关节镜下前交叉韧带重建加关节外外侧腱固定术的25年经验：迄今为止的情况。
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Consistent Indications and Good Outcomes Despite High Variability in Techniques for Two-Stage Revision Anterior Cruciate Ligament Reconstruction: A Systematic Review.尽管两阶段翻修前交叉韧带重建技术存在高度变异性，但仍有明确的适应证和良好的结果：系统评价。
Arthroscopy. 2023 Sep;39(9):2098-2111. doi: 10.1016/j.arthro.2023.02.009. Epub 2023 Feb 28.