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膝关节前外侧韧带与前交叉韧带联合重建：“开放式前外侧韧带重建术”

Combined Open-Anterolateral Ligament and Anterior Cruciate Ligament Reconstruction of the Knee: The "Open-ALL".

作者信息

Abreu Felipe Galvão, Chamoux Julien, Barrera Uso Marc, Cardarelli Silvia, Borojeni Anahita, Kluyskens Louis, Vieira Thais Dutra, Sonnery-Cottet Bertrand

机构信息

Clínica Sportsmed, São José do Rio Preto, SP, Brazil.

Hôpital Privé Jean Mermoz, Centre Orthopédique Santy, FIFA Medical Centre of Excellence, Ramsay Générale de Santé, Lyon, France.

出版信息

Arthrosc Tech. 2024 Aug 24;14(2):103189. doi: 10.1016/j.eats.2024.103189. eCollection 2025 Feb.

DOI:10.1016/j.eats.2024.103189
PMID:40041335
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11873502/
Abstract

The addition of an extra-articular reinforcement, such as the anterolateral ligament (ALL) or a Lemaire's procedure, in anterior cruciate ligament reconstructions has shown good clinical results, with greater graft protection and a lower rerupture rate. Despite being a reproducible procedure, its application in cases of large, muscled knees or in obese patients can be challenging. This Technical Note describes the "Open-ALL" technique, using a mini-open approach for a combined anterior cruciate ligament and ALL reconstruction.

摘要

在前交叉韧带重建中增加关节外加强结构，如前外侧韧带（ALL）或勒迈尔手术，已显示出良好的临床效果，具有更好的移植物保护作用和更低的再破裂率。尽管这是一种可重复的手术，但在大型肌肉发达的膝关节或肥胖患者中应用可能具有挑战性。本技术说明描述了“开放式ALL”技术，采用微创开放入路进行前交叉韧带和ALL联合重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/a973d329f2a6/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/74747e3bfee4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/e471cf9d887f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/d10a804e0728/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/ab4f9dc9d4e4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/5a30a364913e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/a2a88bf654b4/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/033ca5db3553/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/a973d329f2a6/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/74747e3bfee4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/e471cf9d887f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/d10a804e0728/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/ab4f9dc9d4e4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/5a30a364913e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/a2a88bf654b4/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/033ca5db3553/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1b/11873502/a973d329f2a6/gr8.jpg

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