D'Ambrosi Riccardo, Marchetti Pietro, Skopljak Edna, Valli Federico, Nuara Alessandro, Ursino Nicola
IRCCS Ospedale Galeazzi - Sant'Ambrogio, Milan, Italy.
Università degli Studi di Milano, Dipartimento di Scienze Biomediche per la Salute, Milan, Italy.
Arthrosc Tech. 2025 Mar 21;14(6):103527. doi: 10.1016/j.eats.2025.103527. eCollection 2025 Jun.
In recent years, anterolateral ligament repair and lateral extra-articular tenodesis have gained prominence as adjuncts to anterior cruciate ligament reconstruction (ACLR). This renewed focus is driven by increasing reports of failure rates exceeding 20% in high-risk groups undergoing standalone ACLR. Despite advancements in surgical techniques, equipment, and postoperative rehabilitation for ACLR, unresolved rotational instability and the persistence of the pivot-shift phenomenon remain significant challenges after ACLR. However, concerns linger regarding potential complications associated with these procedures, including overconstraint of the lateral compartment, stiffness, infections, tunnel convergence, and other intra- and postoperative issues linked to extended surgical times and additional interventions. The aim of this surgical Technical Note is to present a minimally invasive, modified Ellison procedure, employing a biocomposite knotless suture anchor for tibial fixationoffering a potentially effective and less-invasive approach to address these challenges.
近年来，前外侧韧带修复和外侧关节外腱固定术作为前交叉韧带重建（ACLR）的辅助手术日益受到关注。这种新的关注是由高危组单独进行ACLR的失败率超过20%的报道不断增加所驱动的。尽管ACLR的手术技术、设备和术后康复取得了进展，但未解决的旋转不稳定和轴移现象的持续存在仍然是ACLR后的重大挑战。然而，人们对这些手术潜在的并发症仍存在担忧，包括外侧间室过度受限、僵硬、感染、隧道汇聚以及与延长手术时间和额外干预相关的其他术中和术后问题。本手术技术说明的目的是介绍一种微创改良Ellison手术，采用生物复合材料无结缝线锚钉进行胫骨固定，为应对这些挑战提供一种潜在有效且侵入性较小的方法。
