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股薄肌解剖学前外侧韧带重建：技术说明。

Gracilis Anatomic Anterolateral Ligament Reconstruction: Technical Note.

作者信息

Thiebat Gabriele, Maggioni Lorenzo Maria, De Pamphilis Roberto, Manzini Claudio, Panzeri Andrea, Pungitore Marco

机构信息

Istituti di Ricovero e Cura a Carattere Scientifico Istituto Ortopedico Galeazzi (Istituto Clinico San Siro), Milan, Italy.

Università degli Studi di Milano, Milan, Italy.

出版信息

Arthrosc Tech. 2025 Feb 17;14(6):103475. doi: 10.1016/j.eats.2025.103475. eCollection 2025 Jun.

DOI:10.1016/j.eats.2025.103475
PMID:40656704
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12255415/
Abstract

Anterior cruciate ligament reconstruction alone may not adequately address rotational stability in cases with combined anterior cruciate ligament and anterolateral ligament (ALL) injury. The gracilis anatomic anterolateral ligament (GrAAL) reconstruction technique offers an approach that aims to restore rotational stability by anatomically reconstructing the ALL using the gracilis tendon autograft while preserving its native tibial insertion. This procedure requires only a single femoral fixation point, making it a cost-effective and less invasive alternative to other anatomic ALL reconstruction techniques. This technical note outlines the surgical methodology and potential advantages of our approach.

摘要

在合并前交叉韧带和前外侧韧带（ALL）损伤的病例中，单独进行前交叉韧带重建可能无法充分解决旋转稳定性问题。股薄肌解剖学前外侧韧带（GrAAL）重建技术提供了一种方法，旨在通过使用股薄肌自体移植物对ALL进行解剖学重建来恢复旋转稳定性，同时保留其在胫骨的天然附着点。该手术仅需要一个股骨固定点，使其成为一种经济高效且侵入性较小的替代其他解剖学ALL重建技术的方法。本技术说明概述了我们这种方法的手术方法和潜在优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/84d3062f812f/gr17.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/2df3bc9e74da/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/068f24cd90cc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/b751e87bb29d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/4507b206756c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/6e7a826d297f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/8ceb811740a9/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/f6c0fa4c84c1/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/7a71b74e7171/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/01fc8bfd4c15/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/d29863c3dae6/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/623f30125c06/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/ca79e81c19d3/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/50dfa53f9885/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/446fe27f2726/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/ca092512932a/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/0f28216e46b6/gr16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/84d3062f812f/gr17.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/2df3bc9e74da/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/068f24cd90cc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/b751e87bb29d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/4507b206756c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/6e7a826d297f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/8ceb811740a9/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/f6c0fa4c84c1/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/7a71b74e7171/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/01fc8bfd4c15/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/d29863c3dae6/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/623f30125c06/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/ca79e81c19d3/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/50dfa53f9885/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/446fe27f2726/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/ca092512932a/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/0f28216e46b6/gr16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9732/12255415/84d3062f812f/gr17.jpg

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A Cadaveric Study of the Optimal Isometric Region on the Anterolateral Surface of the Knee in Anterolateral Ligament Reconstruction.前交叉韧带重建中前外侧膝关节面上等距区的尸体研究。
Orthop Surg. 2024 Jan;16(1):157-166. doi: 10.1111/os.13938. Epub 2023 Nov 29.
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Comparison of Anterior Cruciate Ligament Reconstruction With Versus Without Anterolateral Augmentation: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
前交叉韧带重建术联合与不联合前外侧增强术的比较：一项随机对照试验的系统评价和荟萃分析
Orthop J Sports Med. 2023 Mar 31;11(3):23259671221149403. doi: 10.1177/23259671221149403. eCollection 2023 Mar.
4
Preserving the hamstring tendon insertion during ACL reconstruction with an autograft: Systematic literature review.前交叉韧带重建术中自体移植物保留腘绳肌腱止点：系统文献回顾。
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5
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Am J Sports Med. 2022 Nov;50(13):3493-3501. doi: 10.1177/03635465221128261. Epub 2022 Oct 18.
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