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通过去除半腱肌和股薄肌联合重建前交叉韧带和前外侧韧带：一种简单、可重复的技术。

Combined Reconstruction of the Anterior Cruciate Ligament and Anterolateral Ligament by Removing the Semitendinosus and Gracilis: A Simple, Reproducible Technique.

作者信息

Coulet Pierre-Louis, André Guillaume

机构信息

Centre Chirurgical Emile Gallé, Nancy, France (P-L.C.) and Hopital-Clinique Claude Bernard, Metz, France.

出版信息

Arthrosc Tech. 2024 Oct 15;14(3):103259. doi: 10.1016/j.eats.2024.103259. eCollection 2025 Mar.

DOI:10.1016/j.eats.2024.103259
PMID:40207345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11977120/
Abstract

Persistent rotatory laxity is a factor in failure after anterior cruciate ligament (ACL) reconstruction, and numerous studies have highlighted the benefits of ACL reconstruction combined with anterolateral ligament (ALL) reconstruction, in particular to reduce the risk of iterative rupture and provide additional rotatory stability. Various techniques for combined ACL-ALL reconstruction exist, none of which has been proven to be superior. We propose a surgical technique for combined ACL-ALL reconstruction using the hamstrings, pedicled semitendinosus, and gracilis, with a single femoral tunnel.

摘要

持续性旋转松弛是前交叉韧带（ACL）重建术后失败的一个因素，许多研究强调了ACL重建联合前外侧韧带（ALL）重建的益处，特别是可降低反复断裂的风险并提供额外的旋转稳定性。存在多种联合ACL-ALL重建的技术，但尚无一种被证明具有优越性。我们提出一种使用腘绳肌、带蒂半腱肌和股薄肌进行联合ACL-ALL重建的手术技术，采用单一股骨隧道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab0/11977120/00bcef948b3e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab0/11977120/f6ab550da721/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab0/11977120/c3a1d418b854/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab0/11977120/698a1b4ec853/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab0/11977120/a906110321b0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab0/11977120/4a2e5f496318/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab0/11977120/b5bb9edc4c40/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab0/11977120/00bcef948b3e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab0/11977120/f6ab550da721/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab0/11977120/c3a1d418b854/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab0/11977120/698a1b4ec853/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab0/11977120/a906110321b0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab0/11977120/4a2e5f496318/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab0/11977120/b5bb9edc4c40/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab0/11977120/00bcef948b3e/gr7.jpg

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本文引用的文献

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Arthrosc Tech. 2023 Dec 21;13(1):102823. doi: 10.1016/j.eats.2023.08.028. eCollection 2024 Jan.
2
Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction With Pedicular Hamstrings Tendon Graft, Single-Strand Gracilis for ALL and Single Blind Femoral Tunnel.采用带蒂绳肌腱移植物进行前交叉韧带和前外侧韧带重建，单股股薄肌用于前外侧韧带重建及单盲股骨隧道技术
Arthrosc Tech. 2023 Jun 19;12(7):e1145-e1154. doi: 10.1016/j.eats.2023.03.003. eCollection 2023 Jul.
3
Combined All-Inside Anterior Cruciate Ligament Reconstruction With Semitendinosus Plus Anterolateral Ligament Reconstruction With Intact Gracilis Tibial Insertion and Transtibial Passage.
联合全内置前交叉韧带重建术（半腱肌）加前外侧韧带重建术（完整的股薄肌胫骨附着点及经胫骨通道）
Arthrosc Tech. 2023 May 15;12(6):e951-e958. doi: 10.1016/j.eats.2023.02.032. eCollection 2023 Jun.
4
The Role of Anterolateral Ligament Reconstruction or Lateral Extra-articular Tenodesis for Revision Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis of Comparative Clinical Studies.前外侧韧带重建或外侧关节外肌腱固定术在复发性前交叉韧带重建中的作用：系统评价和比较临床研究的荟萃分析。
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