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解剖学由内向外保留残端的前交叉韧带重建：一种生物性前交叉韧带重建的手术技术

Anatomical Inside-Out Remnant-Preserving Anterior Cruciate Ligament Reconstruction: A Surgical Technique for Biological Anterior Cruciate Ligament Reconstruction.

作者信息

Alayane Ali, Mouarbes Dany, Vari Nicolas, Ripoll Thomas, Philippe Corentin, Teulieres Maxime, Marot Vincent, Cavaignac Etienne

机构信息

Clinique Universitaire du Sport, Centre Hospitalier Universitaire de Toulouse (CHU), Toulouse, France.

Centre Hospitalier de Perpignan (CHP), Perpignan, France.

出版信息

Arthrosc Tech. 2025 Mar 3;14(6):103503. doi: 10.1016/j.eats.2025.103503. eCollection 2025 Jun.

DOI:10.1016/j.eats.2025.103503
PMID:40656743
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12255463/
Abstract

Preservation of anterior cruciate ligament (ACL) remnants during ACL reconstruction is highly recommended, as it enhances graft healing and contributes to superior functional outcomes. Additionally, preserving ACL remnants is associated with a decreased risk of graft re-rupture. In this Technical Note, we describe an anatomical inside-out ACL reconstruction technique focusing on the optimal preservation of the ACL remnant tissues.

摘要

强烈建议在进行前交叉韧带（ACL）重建时保留ACL残端，因为这有助于移植物愈合，并带来更好的功能结果。此外，保留ACL残端与移植物再次断裂风险降低相关。在本技术说明中，我们描述一种从内向外的解剖学ACL重建技术，该技术着重于对ACL残端组织的最佳保留。

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本文引用的文献

1
A Remnant Preservation Technique for All-Inside Anterior Cruciate Ligament Reconstruction.一种全关节镜下前交叉韧带重建的残端保留技术
Arthrosc Tech. 2024 Dec 23;14(5):103367. doi: 10.1016/j.eats.2024.103367. eCollection 2025 May.
2
Remnant Preservation Anterior Cruciate Ligament Reconstruction: Modified All-Inside Technique With Appendiceal Tibial Tunnel.保留残端前交叉韧带重建：采用阑尾状胫骨隧道的改良全内置技术
Arthrosc Tech. 2024 Sep 10;14(2):103217. doi: 10.1016/j.eats.2024.103217. eCollection 2025 Feb.
3
Outcomes of hamstring graft with preserved tibial insertion for ACL reconstruction: systematic review and meta-analysis.
保留胫骨止点的腘绳肌腱重建 ACL：系统评价和荟萃分析。
Eur J Orthop Surg Traumatol. 2024 Jan;34(1):67-73. doi: 10.1007/s00590-023-03698-5. Epub 2023 Aug 29.
4
Remnant Tensioning Through Pullout Sutures From the Femoral Tunnel During Anatomic Anterior Cruciate Ligament Reconstruction.在解剖学前交叉韧带重建术中通过股骨隧道拔出缝线进行残余张力调节
Arthrosc Tech. 2021 Oct 16;10(11):e2515-e2522. doi: 10.1016/j.eats.2021.07.036. eCollection 2021 Nov.
5
Remnant Tissue Preserved Transtibial Anterior Cruciate Ligament Reconstruction With Femoral Tunnel Created Behind the Resident's Ridge.保留残端组织的经胫骨前交叉韧带重建术：在髁间嵴后方创建股骨隧道
Arthrosc Tech. 2021 Oct 16;10(11):e2501-e2506. doi: 10.1016/j.eats.2021.07.033. eCollection 2021 Nov.
6
Rate of Tibial Tunnel Malposition Is Not Changed by Drilling Entirely Within the Stump of Preserved Remnants During ACL Reconstruction: A Prospective Comparative 3D-CT Study.在 ACL 重建过程中，完全在保留残端内钻孔不会改变胫骨隧道位置不当的发生率：一项前瞻性对比 3D-CT 研究。
Orthop J Sports Med. 2021 Oct 6;9(10):23259671211037324. doi: 10.1177/23259671211037324. eCollection 2021 Oct.
7
Hybrid Remnant-Sparing Anterior Cruciate Ligament Repair-Reconstruction.混合保留残端前交叉韧带修复重建术
Arthrosc Tech. 2021 Jun 20;10(7):e1717-e1721. doi: 10.1016/j.eats.2021.03.019. eCollection 2021 Jul.
8
All-Inside Anterior Cruciate Ligament Reconstruction With Augmentation Using the Native Anterior Cruciate Ligament Remnant by Suture Approximation.使用缝线近似法利用自体前交叉韧带残端进行增强的全内置前交叉韧带重建术。
Arthrosc Tech. 2021 Feb 2;10(3):e647-e652. doi: 10.1016/j.eats.2020.10.052. eCollection 2021 Mar.
9
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Knee Surg Sports Traumatol Arthrosc. 2021 Nov;29(11):3763-3772. doi: 10.1007/s00167-020-06406-6. Epub 2021 Jan 2.
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Double-bundle anterior cruciate ligament reconstruction with and without remnant preservation - Comparison of early postoperative outcomes and complications.保留与不保留残端的双束前交叉韧带重建术——术后早期疗效及并发症比较
Knee. 2017 Oct;24(5):1039-1046. doi: 10.1016/j.knee.2017.05.008. Epub 2017 Aug 5.