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采用偏心扩孔法纠正前交叉韧带胫骨隧道的非解剖位置。

Eccentric Reaming to Correct Nonanatomic Anterior Cruciate Ligament Tibial Tunnel Placement.

作者信息

Azer Amanda, Ge David, Chan Ferdinand J

机构信息

Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, U.S.A.

Department of Orthopaedic Surgery, Montefiore Medical Center, Bronx, New York, U.S.A.

出版信息

Arthrosc Tech. 2024 Sep 27;14(3):103261. doi: 10.1016/j.eats.2024.103261. eCollection 2025 Mar.

DOI:10.1016/j.eats.2024.103261
PMID:40207330
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11977167/
Abstract

Anatomic tibial tunnel placement remains an essential aspect of anterior cruciate ligament reconstruction success. Incorrect placement is a common cause of failure and revision reconstruction. Our technique allows repositioning a suboptimal tibial tunnel without the need to remove the initial guide pin for proper tunnel placement. The use of the eccentric reaming technique allows for this to take place, ensuring the more likely success of anterior cruciate ligament reconstruction procedures.

摘要

胫骨隧道的解剖定位仍然是前交叉韧带重建成功的一个重要方面。定位不正确是失败和翻修重建的常见原因。我们的技术允许重新定位不理想的胫骨隧道，而无需移除初始导针以进行正确的隧道定位。采用偏心扩孔技术可实现这一点，确保前交叉韧带重建手术更有可能成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/11977167/17b74683c9e8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/11977167/17b74683c9e8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/11977167/17b74683c9e8/gr1.jpg

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Anatomic Anterior Cruciate Ligament Reconstruction.解剖学前交叉韧带重建。
Arthroscopy. 2023 Sep;39(9):1968-1970. doi: 10.1016/j.arthro.2023.03.004.
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Anterior Cruciate Ligament Tunnel Placement Using the Pathfinder Guide.使用探路者导向器进行前交叉韧带隧道定位
Arthrosc Tech. 2017 Aug 14;6(4):e1291-e1296. doi: 10.1016/j.eats.2017.05.009. eCollection 2017 Aug.
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High non-anatomic tunnel position rates in ACL reconstruction failure using both transtibial and anteromedial tunnel drilling techniques.在使用经胫骨和前内侧隧道钻孔技术进行前交叉韧带重建失败的病例中，非解剖学隧道位置率较高。
Arch Orthop Trauma Surg. 2017 Sep;137(9):1293-1299. doi: 10.1007/s00402-017-2738-3. Epub 2017 Jul 18.
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Anatomic Femoral and Tibial Tunnel Placement During Anterior Cruciate Ligament Reconstruction: Anteromedial Portal All-Inside and Outside-In Techniques.前交叉韧带重建术中股骨和胫骨隧道的解剖定位：经前内侧入路的全关节镜内外侧技术
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Arthrosc Tech. 2016 Aug 1;5(4):e809-e814. doi: 10.1016/j.eats.2016.03.008. eCollection 2016 Aug.
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