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改良勒梅尔关节外腱固定术的解剖学全关节内前交叉韧带重建：四股半腱肌自体移植物及手术技巧

Anatomic All-Inside Anterior Cruciate Ligament Reconstruction With a Modified Lemaire Extra-Articular Tenodesis: Quadruple-Bundle Semitendinosus Autograft and Surgery Tips.

作者信息

Jiménez-Olivares Jesús, Amor-Jiménez Salvador, León-Muñoz Vicente Jesús, Santonja-Medina Fernando, Lajara-Marco Francisco

机构信息

Department of Orthopedic Surgery and Traumatology, Hospital Vega Baja, Orihuela, Spain.

Department of Orthopedic Surgery and Traumatology, Hospital QuironSalud Murcia, Murcia, Spain.

出版信息

Arthrosc Tech. 2024 Sep 19;14(2):103238. doi: 10.1016/j.eats.2024.103238. eCollection 2025 Feb.

DOI:10.1016/j.eats.2024.103238
PMID:40041325
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11873503/
Abstract

The past decade has seen changing trends in anterior cruciate ligament reconstruction surgery, with the hamstring becoming the most commonly used graft. Furthermore, the importance of extra-articular lateral tenodesis has been demonstrated to offer greater control of rotational laxity and a protective effect during cruciate ligament reconstruction. In this technical note, we describe a way to elaborate the graft with quadrupled semitendinosus tendon to obtain a compact and reliable graft. We provide tips and tricks to systematize and simplify the "all-inside" reconstruction technique and modified Lemaire's extra-articular tenodesis with femoral fixation in an independent bone tunnel under direct visualization to avoid confluence of the bone tunnels. This is a safe, reliable, and reproducible technique that causes less morbidity by removing a single hamstring tendon and preserving bone stock, with good clinical and functional results.

摘要

在过去十年中，前交叉韧带重建手术呈现出不断变化的趋势，其中绳肌成为最常用的移植物。此外，关节外外侧腱固定术的重要性已得到证实，它能在交叉韧带重建过程中更好地控制旋转松弛并起到保护作用。在本技术说明中，我们描述了一种用四倍半腱肌肌腱精心制作移植物以获得紧实且可靠移植物的方法。我们提供了一些技巧和窍门，以系统化和简化“全内”重建技术以及改良的勒迈尔关节外腱固定术，即在直视下于独立骨隧道中进行股骨固定，以避免骨隧道汇合。这是一种安全、可靠且可重复的技术，通过仅移除一条绳肌肌腱并保留骨量，发病率较低，临床和功能效果良好。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5961/11873503/0e402ea09f31/gr1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5961/11873503/2968f7163f85/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5961/11873503/bae582aef67a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5961/11873503/1be3af4da478/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5961/11873503/c39889eaadbe/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5961/11873503/d1282ed7f7c5/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5961/11873503/e9297663d4d5/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5961/11873503/05112a7caa32/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5961/11873503/faec57c7d021/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5961/11873503/157c55379a68/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5961/11873503/19fababa7ae1/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5961/11873503/b66283c5023c/gr14.jpg

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本文引用的文献

1
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Arthroscopy. 2023 Mar;39(3):758-776.e10. doi: 10.1016/j.arthro.2022.11.032. Epub 2022 Dec 8.
2
All-Inside Anterior Cruciate Ligament Reconstruction.全关节镜下前交叉韧带重建术
Arthroscopy. 2022 Aug;38(8):2368-2369. doi: 10.1016/j.arthro.2022.06.001.
3
ACL Study Group survey reveals the evolution of anterior cruciate ligament reconstruction graft choice over the past three decades.
ACL 研究组调查揭示了过去三十年来前交叉韧带重建移植物选择的演变。
Knee Surg Sports Traumatol Arthrosc. 2021 Nov;29(11):3871-3876. doi: 10.1007/s00167-021-06443-9. Epub 2021 Jan 24.
4
Is all-inside with suspensory cortical button fixation a superior technique for anterior cruciate ligament reconstruction surgery? A systematic review and meta-analysis.采用带袢钢板皮质纽扣全内置固定技术进行前交叉韧带重建手术是否为更优术式？一项系统评价与Meta分析。
BMC Musculoskelet Disord. 2020 Jul 7;21(1):445. doi: 10.1186/s12891-020-03471-3.
5
Comparative clinical outcomes of anterolateral ligament reconstruction versus lateral extra-articular tenodesis in combination with anterior cruciate ligament reconstruction: systematic review and meta-analysis.前外侧韧带重建与外侧关节外肌腱固定术联合前交叉韧带重建的临床疗效比较：系统评价和荟萃分析。
Arch Orthop Trauma Surg. 2020 Jul;140(7):923-931. doi: 10.1007/s00402-020-03393-8. Epub 2020 Mar 5.
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Lateral Extra-articular Tenodesis Reduces Failure of Hamstring Tendon Autograft Anterior Cruciate Ligament Reconstruction: 2-Year Outcomes From the STABILITY Study Randomized Clinical Trial.外侧关节外肌腱固定术降低了腘绳肌腱自体移植物前交叉韧带重建失败的风险：来自 STABILITY 研究的随机临床试验的 2 年结果。
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Knee Surg Sports Traumatol Arthrosc. 2020 Apr;28(4):1036-1044. doi: 10.1007/s00167-019-05642-9. Epub 2019 Aug 1.
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Arthroscopy. 2019 May;35(5):1547-1554. doi: 10.1016/j.arthro.2018.11.065. Epub 2019 Apr 12.
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Knee Surg Sports Traumatol Arthrosc. 2019 Nov;27(11):3592-3598. doi: 10.1007/s00167-019-05456-9. Epub 2019 Mar 19.
10
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Phys Sportsmed. 2019 Feb;47(1):132-135. doi: 10.1080/00913847.2018.1537535. Epub 2018 Nov 2.