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三束内侧副韧带重建：内侧箭头技术

Triple-Bundle Medial Collateral Ligament Reconstruction: The Medial Arrow Technique.

作者信息

Gawish Hesham Mohamed, Elghaish Mohamed Abdelmonsef Ibrahim, Aziz Waleed Hamed Hamed Ebrahim, Ahmed Emam Mohamed Ahmed Emam, Abou Helwo Ahmed Hassan Saad, Waly Ahmed Hassan Taha

机构信息

Department of Orthopedic Surgery and Traumatology, Kafr El-Sheik University, Faculty of Medicine, Kafr El-Sheikh, Egypt.

Orthopedic & Trauma Section, Dubai Academic Health Corporation (Dubai Health), Dubai.

出版信息

Arthrosc Tech. 2025 May 16;14(7):103590. doi: 10.1016/j.eats.2025.103590. eCollection 2025 Jul.

DOI:10.1016/j.eats.2025.103590
PMID:40822178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12350699/
Abstract

Medial knee injuries are common and sometimes overlooked in cases of anterior cruciate ligament injuries. Persistent anteromedial rotatory instability can lead to chronic pain and later anterior cruciate ligament reconstruction failure. Moreover, in cases with multiligamentous knee injuries, there may be combined anteromedial and posteromedial rotatory instabilities. In this Technical Note, a triple-bundle reconstruction of the superficial medial collateral ligament, the deep medial collateral ligament, and the posterior oblique ligament is described to address these instabilities.

摘要

膝关节内侧损伤很常见，在前交叉韧带损伤的病例中有时会被忽视。持续的前内侧旋转不稳定会导致慢性疼痛，并随后导致前交叉韧带重建失败。此外，在膝关节多韧带损伤的病例中，可能存在前内侧和后内侧旋转不稳定的合并情况。在本技术说明中，描述了一种对浅层内侧副韧带、深层内侧副韧带和后斜韧带进行三束重建的方法，以解决这些不稳定问题。

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本文引用的文献

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A Flat Reconstruction of the Medial Collateral Ligament and Anteromedial Structures Restores Native Knee Kinematics: A Biomechanical Robotic Investigation.内侧副韧带和前内侧结构的平面重建可恢复膝关节 native 运动学：一项基于机器人的生物力学研究。
Am J Sports Med. 2024 Nov;52(13):3306-3313. doi: 10.1177/03635465241280984. Epub 2024 Oct 3.
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Medial Collateral Ligament Reconstruction: A Gracilis Tenodesis for Anteromedial Knee Instability.内侧副韧带重建：股薄肌腱固定术治疗膝前内侧不稳
Arthrosc Tech. 2022 Jul 14;11(8):e1409-e1418. doi: 10.1016/j.eats.2022.03.034. eCollection 2022 Aug.
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The Mirror Anterolateral Ligament: A Simple Technique to Reconstruct the Deep Medial Collateral Ligament Using the Gracilis Associated With a Four-Strand Semitendinosus for Anterior Cruciate Ligament Reconstruction.
镜像前外侧韧带：一种使用股薄肌联合四股半腱肌重建深层内侧副韧带以进行前交叉韧带重建的简单技术。
Arthrosc Tech. 2022 Jul 14;11(8):e1419-e1424. doi: 10.1016/j.eats.2022.03.030. eCollection 2022 Aug.
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The "Figure of Four" Reconstruction of the Medial Collateral Ligaments in the Setting of Anteromedial Rotatory Knee Instability Using a Single Autograft.使用单一自体移植物对存在前内侧旋转性膝关节不稳的内侧副韧带进行“4字法”重建。
Arthrosc Tech. 2022 Jun 14;11(7):e1239-e1245. doi: 10.1016/j.eats.2022.03.003. eCollection 2022 Jul.
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Medial Collateral Ligament Reconstruction for Anteromedial Instability of the Knee: A Biomechanical Study In Vitro.膝关节前内侧不稳的内侧副韧带重建：体外生物力学研究。
Am J Sports Med. 2022 Jun;50(7):1823-1831. doi: 10.1177/03635465221092118. Epub 2022 May 5.
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A Triple-Strand Anatomic Medial Collateral Ligament Reconstruction Restores Knee Stability More Completely Than a Double-Strand Reconstruction: A Biomechanical Study In Vitro.三股解剖型内侧副韧带重建比双股重建更能完全恢复膝关节稳定性：一项体外生物力学研究。
Am J Sports Med. 2022 Jun;50(7):1832-1842. doi: 10.1177/03635465221090612. Epub 2022 May 3.
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MCL Reconstruction Using a Flat Tendon Graft for Anteromedial and Posteromedial Instability.使用扁平肌腱移植物修复内侧副韧带前内侧和后内侧不稳
Arthrosc Tech. 2022 Feb 8;11(3):e291-e300. doi: 10.1016/j.eats.2021.10.019. eCollection 2022 Mar.
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The bone attachments of the medial collateral and posterior oblique ligaments are defined anatomically and radiographically.内侧副韧带和后斜韧带的骨附着点在解剖学和影像学上有明确的定义。
Knee Surg Sports Traumatol Arthrosc. 2020 Dec;28(12):3709-3719. doi: 10.1007/s00167-020-06139-6. Epub 2020 Jul 31.
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Knee Surg Sports Traumatol Arthrosc. 2020 Dec;28(12):3720-3732. doi: 10.1007/s00167-020-06050-0. Epub 2020 Jun 1.