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一种改良的混合修复技术：用于前交叉韧带损伤的全内置重建与带内部支撑增强的一期修复相结合

A Modified Hybrid Repair Technique of Combined All-Inside Reconstruction and Primary Repair With Internal Bracing Augmentation for Anterior Cruciate Ligament Injury.

作者信息

Zhang Nanxin, Lai Yuchao, Chen Hongwei, Zhu Si, Li Qiang

机构信息

Department of Orthopedics, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.

Department of Trauma Center and Emergency Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.

出版信息

Arthrosc Tech. 2024 Nov 20;14(3):103273. doi: 10.1016/j.eats.2024.103273. eCollection 2025 Mar.

DOI:10.1016/j.eats.2024.103273
PMID:40207315
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11977139/
Abstract

Anterior cruciate ligament (ACL) primary repair techniques have gained increasing interest as an alternative to ACL reconstruction because of several advantages, including preservation of proprioception and restoration of tension for the injured ACL remnant. In recent years, surgical approaches for ACL repair have progressed from direct repair to augmentation techniques using internal or external reinforcement. To make the augmented primary repair more effective and economical, we adapted the internal brace augmentation technique to use only 1 semitendinosus autograft without additional grafts or anchors. This article describes our modified, simplified approach for ACL repair.

摘要

前交叉韧带（ACL）一期修复技术作为ACL重建的替代方法，因其具有多种优势，包括保留本体感觉和恢复损伤ACL残端的张力，而越来越受到关注。近年来，ACL修复的手术方法已从直接修复发展到使用内部或外部增强材料的增强技术。为了使增强的一期修复更有效且经济，我们采用了内部支撑增强技术，仅使用1条半腱肌自体移植物，无需额外的移植物或锚钉。本文介绍了我们改良的、简化的ACL修复方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9060/11977139/7ce59f80729d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9060/11977139/f111f6e5ba1e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9060/11977139/a3a1eab526fa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9060/11977139/7ce59f80729d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9060/11977139/f111f6e5ba1e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9060/11977139/a3a1eab526fa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9060/11977139/7ce59f80729d/gr3.jpg

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本文引用的文献

1
Anterior Cruciate Ligament Repair With Suture Tape Augmentation of Proximal Tears and Early Anterior Cruciate Ligament Reconstruction With Suture Tape Augmentation Result in Comparable Clinical Outcomes With Anterior Cruciate Ligament Reconstruction at 2-Year Follow-Up.采用缝线带加强修复前交叉韧带近端撕裂与早期采用缝线带加强进行前交叉韧带重建在2年随访时的临床结果与前交叉韧带重建相当。
Arthroscopy. 2024 Jul 26. doi: 10.1016/j.arthro.2024.07.021.
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Proprioception After Primary Repair of the Anterior Cruciate Ligament.前交叉韧带初次修复后的本体感觉。
Am J Sports Med. 2024 Apr;52(5):1199-1208. doi: 10.1177/03635465241228839. Epub 2024 Mar 4.
3
All-Inside Anterior Cruciate Ligament Reconstruction Had Clinical Outcome Similar to the Transtibial Technique Except for Improved Side-to-Side Difference and Tegner Activity Scale: A Systematic Review and Meta-analysis.
全内视前交叉韧带重建术与经胫骨技术的临床结果相似，除了改善了侧移差值和 Tegner 活动量表：系统评价和荟萃分析。
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All-inside versus complete tibial tunnel techniques in anterior cruciate ligament reconstruction: a systematic review and meta-analysis of randomized controlled trials.全内视镜与完整胫骨隧道技术在前交叉韧带重建中的比较：系统评价和随机对照试验的荟萃分析。
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All-Inside Anterior Cruciate Ligament Reconstruction: A Review of Advance and Trends.全内视前交叉韧带重建：进展与趋势的回顾。
Front Biosci (Landmark Ed). 2022 Mar 8;27(3):91. doi: 10.31083/j.fbl2703091.
6
All-Inside Anterior Cruciate Ligament Reconstruction With Augmentation Using the Native Anterior Cruciate Ligament Remnant by Suture Approximation.使用缝线近似法利用自体前交叉韧带残端进行增强的全内置前交叉韧带重建术。
Arthrosc Tech. 2021 Feb 2;10(3):e647-e652. doi: 10.1016/j.eats.2020.10.052. eCollection 2021 Mar.
7
A Hybrid Repair Technique Combining Single-Bundle Reconstruction and Primary Repair With Internal Brace Augmentation for Anterior Cruciate Ligament Injury.一种结合单束重建、初次修复及内置支撑增强技术的前交叉韧带损伤混合修复方法
Arthrosc Tech. 2020 Jun 9;9(7):e917-e923. doi: 10.1016/j.eats.2020.03.007. eCollection 2020 Jul.
8
Acute Anterior Cruciate Ligament Rupture: Repair or Reconstruction? Two-Year Results of a Randomized Controlled Clinical Trial.急性前交叉韧带撕裂：修复还是重建？一项随机对照临床试验的两年结果。
Am J Sports Med. 2019 Mar;47(3):567-577. doi: 10.1177/0363546519825878.
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Inside-out Tibial Tunnel Drilling Technique for All-inside Anterior Cruciate Ligament Reconstruction.全关节镜下前交叉韧带重建的经胫骨隧道由外向内钻孔技术
Arthrosc Tech. 2018 Mar 19;7(4):e373-e377. doi: 10.1016/j.eats.2017.10.008. eCollection 2018 Apr.
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