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膝关节全覆盖前外侧韧带重建技术

All-Onlay Anterolateral Ligament Reconstruction Technique of the Knee.

作者信息

Grimm Nathan L, Modrow Kamron, Ryan Elizabeth, Curran Jack, Jimenez Andrew E, Levy Benjamin J

机构信息

Idaho Sports Medicine Institute, Boise, Idaho, U.S.A.

Department of Biomedical Engineering, Boise State University, Boise, Idaho, U.S.A.

出版信息

Arthrosc Tech. 2024 May 24;13(9):103060. doi: 10.1016/j.eats.2024.103060. eCollection 2024 Sep.

DOI:10.1016/j.eats.2024.103060
PMID:39308579
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11411354/
Abstract

The anterolateral ligament has gained attention as a secondary stabilizer of anterolateral rotatory stability of the knee. This has had implications among sports medicine specialists as an adjunct procedure with anterior cruciate ligament reconstruction to improve stability. As indications have evolved for its use as an anterior cruciate ligament reconstruction augment, so have the techniques for reconstruction. As such, we present a simple, efficient, and reproducible technique for all-onlay reconstruction with low-profile instrumentation that mitigates concerns for tunnel convergence.

摘要

前外侧韧带作为膝关节前外侧旋转稳定性的次要稳定结构已受到关注。这在运动医学专家中引发了将其作为前交叉韧带重建的辅助手术以提高稳定性的讨论。随着其作为前交叉韧带重建增强术的应用指征不断演变，重建技术也在发展。因此，我们提出一种使用低轮廓器械进行全层覆盖重建的简单、高效且可重复的技术，该技术可减少对隧道汇聚的担忧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f66d/11411354/c8515d3d7110/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f66d/11411354/075b9ff71cd4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f66d/11411354/d2de90a1620a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f66d/11411354/6bd7dfc4b9d2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f66d/11411354/de1ba7e6a73e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f66d/11411354/aa599efb9c26/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f66d/11411354/a369a7ea6d52/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f66d/11411354/c8515d3d7110/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f66d/11411354/075b9ff71cd4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f66d/11411354/d2de90a1620a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f66d/11411354/6bd7dfc4b9d2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f66d/11411354/de1ba7e6a73e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f66d/11411354/aa599efb9c26/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f66d/11411354/a369a7ea6d52/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f66d/11411354/c8515d3d7110/gr7.jpg

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本文引用的文献

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Additional Anterolateral Ligament Reconstruction Helps Patients Improve Dynamic Postural Stability in Revision Anterior Cruciate Ligament Reconstruction.补充前外侧韧带重建有助于患者改善前交叉韧带重建翻修术中的动态姿势稳定性。
Medicina (Kaunas). 2023 Jul 3;59(7):1242. doi: 10.3390/medicina59071242.
2
Characterizing the viscoelastic properties of the anterolateral ligament and grafts commonly used in its reconstruction.描述前外侧韧带及其重建中常用移植物的黏弹特性。
Clin Biomech (Bristol). 2023 Apr;104:105949. doi: 10.1016/j.clinbiomech.2023.105949. Epub 2023 Mar 29.
3
Sectioning of the Anterolateral Ligaments in Anterior Cruciate Ligament Sectioned Knees Increases Internal Rotation of the Knee Joint: A Systematic Review and Meta-analysis of Cadaveric Studies.
前交叉韧带切断膝关节前侧外侧韧带的节段化增加膝关节内旋：尸体研究的系统评价和荟萃分析。
Arthroscopy. 2023 Jul;39(7):1692-1701. doi: 10.1016/j.arthro.2022.12.038. Epub 2023 Jan 25.
4
High Risk of Tunnel Convergence in Combined Anterior Cruciate Ligament Reconstruction and Lateral Extra-articular Tenodesis.前交叉韧带重建联合外侧关节外肌腱固定术隧道会聚的高风险。
Am J Sports Med. 2019 Jul;47(9):2110-2115. doi: 10.1177/0363546519854220. Epub 2019 Jun 13.
5
MRI-determined anterolateral capsule injury did not affect the pivot-shift in anterior cruciate ligament-injured knees.MRI 确定的前外侧囊损伤不会影响前交叉韧带损伤膝关节的前向平移试验。
Knee Surg Sports Traumatol Arthrosc. 2019 Nov;27(11):3426-3431. doi: 10.1007/s00167-019-05376-8. Epub 2019 Feb 4.
6
Clinical Outcomes of Isolated Revision Anterior Cruciate Ligament Reconstruction or in Combination With Anatomic Anterolateral Ligament Reconstruction.孤立性前交叉韧带重建或联合解剖前外侧韧带重建的临床结果。
Am J Sports Med. 2019 Feb;47(2):324-333. doi: 10.1177/0363546518815888. Epub 2019 Jan 14.
7
Clinical Results of Lateral Extra-Articular Tenodesis.外侧关节外肌腱固定术的临床结果
Tech Orthop. 2018 Dec;33(4):232-238. doi: 10.1097/BTO.0000000000000309. Epub 2017 Dec 25.
8
High risk of tunnel convergence during combined anterior cruciate ligament and anterolateral ligament reconstruction.前交叉韧带与前外侧韧带联合重建时隧道易发生收敛。
Knee Surg Sports Traumatol Arthrosc. 2019 Feb;27(2):611-617. doi: 10.1007/s00167-018-5200-3. Epub 2018 Oct 8.
9
Combined reconstruction of the anterolateral ligament in chronic ACL injuries leads to better clinical outcomes than isolated ACL reconstruction.慢性 ACL 损伤中前外侧韧带的联合重建比单独 ACL 重建能带来更好的临床结果。
Knee Surg Sports Traumatol Arthrosc. 2018 Dec;26(12):3652-3659. doi: 10.1007/s00167-018-4934-2. Epub 2018 Apr 2.
10
Incidence of and Factors Associated With the Decision to Undergo Anterior Cruciate Ligament Reconstruction 1 to 10 Years After Injury.损伤后1至10年进行前交叉韧带重建决策的发生率及相关因素。
Am J Sports Med. 2016 Jun;44(6):1558-64. doi: 10.1177/0363546516630751. Epub 2016 Feb 29.