Jorge Pedro Baches, Toledo Mariana Belaunde, Malpaga Juliano Mangini Dias, Helito Camilo Partezani, Canuto Sérgio Marinho de Gusmão, Padua Vitor Barion Castro de, Oliveira Diego Escudeiro De
Sports Trauma Group, Department of Orthopedics and Traumatology, Irmandade da Santa Casa de Misericórdia de São Paulo, Faculdade de Ciências Médicas, São Paulo, SP, Brazil.
Knee Surgery Division, Instituto de Ortopedia e Traumatologia, Hospital das clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Arthrosc Tech. 2025 Feb 5;14(5):103456. doi: 10.1016/j.eats.2025.103456. eCollection 2025 May.
This study describes a technique for double extra-articular reinforcement associated with anterior cruciate ligament (ACL) reconstruction for patients with both internal and external rotational instability, using reinforcements from the hamstrings and the anterior half of the peroneus longus muscle. The technique involves using 2 reinforcements: one for anterolateral stabilization and the other for anteromedial stabilization. The procedure follows a detailed algorithm for diagnosing rotational instability through physical examination under anesthesia. This approach offers a solution for complex ACL injuries involving bidirectional rotational instability, aiming to optimize knee stability and reduce failure rates in ACL reconstruction.
本研究描述了一种针对合并内旋和外旋不稳定的患者，在进行前交叉韧带（ACL）重建时联合双关节外加强的技术，使用腘绳肌和腓骨长肌前半部分进行加强。该技术包括使用2条加强结构：一条用于前外侧稳定，另一条用于前内侧稳定。该手术遵循一套详细的算法，通过麻醉下的体格检查来诊断旋转不稳定。这种方法为涉及双向旋转不稳定的复杂ACL损伤提供了一种解决方案，旨在优化膝关节稳定性并降低ACL重建的失败率。
