Ho Alexander, Ohuchi Hiroshi, Okada Takuya, Takazawa Shuzo, Yamada Shin, Kato Yuki
Department of Sports Medicine, Kameda Medical Center, Chiba, Japan.
Arthrosc Tech. 2024 May 14;13(8):103019. doi: 10.1016/j.eats.2024.103019. eCollection 2024 Aug.
Hamstring tendon autografts have emerged as the graft of choice by over 50% of sports surgeons worldwide performing anterior cruciate ligament reconstruction. A more recent technique in harvesting the semitendinosus tendon, the posteromedial approach, afforded multiple benefits compared with the anteromedial approach. However, for the inexperienced surgeon, the current techniques may not be as simple because of decreased tendon tension after general anesthesia induction and subcutaneous layer dissection, making it difficult to palpate the semitendinosus tendon. By utilizing ultrasound to assist us during our harvest, we can perform the procedure with increased accuracy and efficiency, which leads to a safer, more proficient, and less invasive procedure.
腘绳肌腱自体移植已成为全球超过50%进行前交叉韧带重建的运动外科医生的首选移植材料。一种较新的半腱肌肌腱采集技术，即后内侧入路，与前内侧入路相比有多种优势。然而，对于经验不足的外科医生来说，由于全身麻醉诱导和皮下层解剖后肌腱张力降低，目前的技术可能没那么简单，使得难以触及半腱肌肌腱。通过在采集过程中利用超声辅助，我们可以提高手术的准确性和效率，从而实现更安全、更熟练且侵入性更小的手术。
