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使用股四头肌腱经圆形矩形骨隧道进行解剖学前交叉韧带重建的技术

Technique of Anatomical Anterior Cruciate Ligament Reconstruction With Rounded Rectangular Bone Tunnels Using the Quadriceps Tendon.

作者信息

Nakase Junsuke, Takata Yasushi, Ishida Yoshihiro, Takemoto Naoki, Nishimura Manase, Van Thanh Nam Ta, Demura Satoru

机构信息

From the Department of Orthopaedic Surgery, Graduate School of Medical Science Kanazawa University, Kanazawa, Japan.

出版信息

Arthrosc Tech. 2024 Nov 8;14(4):103315. doi: 10.1016/j.eats.2024.103315. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103315
PMID:40452986
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126020/
Abstract

The technique presented not only aligns with the current trend of using the quadriceps tendon in anterior cruciate ligament (ACL) reconstructions but also introduces rounded rectangular bone tunnels, which better mimic the native ACL's morphology. This ACL reconstruction improves footprint coverage using rounded rectangular bone tunnels in the femur and tibia. This method could significantly influence clinical practices, particularly in treating younger patients with ACL injuries.

摘要

所提出的技术不仅符合当前在前交叉韧带（ACL）重建中使用股四头肌肌腱的趋势，而且还引入了圆形矩形骨隧道，其更能模拟天然ACL的形态。这种ACL重建通过在股骨和胫骨中使用圆形矩形骨隧道来改善足迹覆盖。这种方法可能会显著影响临床实践，特别是在治疗年轻的ACL损伤患者时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/a7319aeeb806/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/af52e11c70fb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/88b59d8f1993/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/ea6bd9b88ca6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/3147460dfabb/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/f29754e7f4a0/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/3093ca69e398/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/187b01fb3423/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/d5857c67cc80/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/5979f7d9c423/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/0f6a5c4b960a/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/47b092097494/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/40d12805742e/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/a7319aeeb806/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/af52e11c70fb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/88b59d8f1993/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/ea6bd9b88ca6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/3147460dfabb/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/f29754e7f4a0/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/3093ca69e398/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/187b01fb3423/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/d5857c67cc80/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/5979f7d9c423/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/0f6a5c4b960a/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/47b092097494/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/40d12805742e/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be2/12126020/a7319aeeb806/gr13.jpg

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本文引用的文献

1
Differences in the microstructural and mechanical qualities of semitendinosus tendon grafts between skeletally immature and mature patients in anterior cruciate ligament reconstruction.在 ACL 重建中，不同年龄段患者半腱肌腱移植物的微观结构和力学性质的差异。
J Orthop Sci. 2024 Nov;29(6):1430-1437. doi: 10.1016/j.jos.2023.11.004. Epub 2023 Nov 18.
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Speed whip ripstop technique during anterior cruciate ligament reconstruction using quadriceps tendon results in higher fixation strength.在使用股四头肌肌腱进行前交叉韧带重建时，采用速撕防撕技术可获得更高的固定强度。
Knee Surg Sports Traumatol Arthrosc. 2023 Sep;31(9):4068-4075. doi: 10.1007/s00167-023-07482-0. Epub 2023 Jun 15.
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Growth-related changes in the ultrastructure of the quadriceps tendon.
股四头肌腱超微结构的生长相关性变化。
Knee. 2023 Jun;42:357-363. doi: 10.1016/j.knee.2023.04.014. Epub 2023 May 5.
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Graft choices for paediatric anterior cruciate ligament reconstruction: State of the art.儿童前交叉韧带重建的移植物选择：最新技术。
J ISAKOS. 2023 Jun;8(3):145-152. doi: 10.1016/j.jisako.2023.01.001. Epub 2023 Jan 14.
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Differences in cellular and microstructural properties of the semitendinosus muscle tendon between young and adult patients.青少年和成年患者半腱肌肌腱细胞和微观结构特性的差异。
J Orthop Sci. 2022 Mar;27(2):478-485. doi: 10.1016/j.jos.2021.01.012. Epub 2021 Mar 10.
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Transphyseal Anterior Cruciate Ligament Reconstruction in the Skeletally Immature: Quadriceps Tendon Autograft Versus Hamstring Tendon Autograft.骨骼未成熟者的经骨骺前交叉韧带重建：股四头肌腱自体移植与腘绳肌腱自体移植对比
Orthop J Sports Med. 2019 Sep 17;7(9):2325967119872450. doi: 10.1177/2325967119872450. eCollection 2019 Sep.
7
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Knee. 2016 Jan;23(1):91-6. doi: 10.1016/j.knee.2015.07.005. Epub 2015 Aug 7.
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Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site: a cadaveric study including 111 knees.前交叉韧带股骨止点处中体纤维呈束状外观：一项包括 111 例膝关节的尸体研究。
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